Application for Partner Organization for Midwest Coaches Conference Community Service Project 
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Name of Applicant *
Email Address of Applicant *
Name of Nominated Organization *
Website Address of Nominated Organization *
Affiliation with National or Global Organization? 
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Mission of Organization

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Vision of Organization

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Years in existence in Greater Cincinnati Area

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Name of Executive Director or CEO

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Email Address of Executive Director or CEO

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Full Address of Executive Director or CEO *
Phone Number of Executive Director or CEO *

Why do you nominate this organization for the Midwest Coaches Conference Community Service Project (CSP)? 

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Describe your criteria for choosing individuals to offer the benefits of having a coach for at least six hours over 6 months. How many leaders do you expect will accept your offer? 

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Do you commit to appoint a project leader to act as liaison to the Midwest Coaches Conference in the planning of and for the duration of the project including follow-up presentation? Please provide name and contact information of the project leader.

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How will your organization provide support for Coachees to practice new skills?

How will your organization encourage managers of Coachees to support  their development goals? 

Submitted by: *
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