Midwest Coaches Conference Community Service Project (CSP) Coach Interest Form

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Please note that information that you share on this form may be shared directly with the partner organization and/or potential coaching clients. Forms must be completed by June 21, 2024.

First Name *

Last Name *

Best Contact Email

Best Contact Phone

ICF Chapter Name

Please provide your company website link, LinkedIn profile or Facebook page

Please mark your ICF credential below. At this time we are only accepting credentialed coaches for this project. If you would like to know more about getting a credential, click here.

ACC

PCC

MCC

Other:

Please list any missions or causes that you feel particularly drawn to serve. Please note: we cannot guarantee a match with a client working in your preferred mission/cause, but this information may aid us in client/coach assignments.
*

Please select only the top 3 coaching themes that best describe your coaching.

Communication Skills

Corporate/Organizational

Health/Wellness

Interpersonal Relationships

Job/Career Change

Personal Growth

Self Confidence

Strategic Thinking/Planning

Team Effectiveness

Work-Life Balance

Leadership

Required

Please provide a short bio (Max 250 words) *

How long have you been a practicing trained coach?

0-2 years

3-5 years

5+ years

By clicking YES I agree to adhere to the ICF Code of Ethics.

YES

What is your experience in coaching non-profit leaders?

What is your general availability for coaching sessions? (Days of week, hours of day, etc.)
*

How would you describe yourself as a coach and/or your coaching approach?

What is your best strength as a coach?

What type of client are you most interested in coaching?

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