edwell coaching interest form

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Thank you for expressing interest in our fall coaching pilot! Below, please tell us a little more about yourself.

For those interested in receiving or offering coaching, you are committed to participating in four hour-long coaching sessions in which you will partner with your coach (or coachee) in a thought-provoking and creative process to craft strategies to maximize personal and professional potential. Spots are limited! The program will run between November and December, and you will have flexibility in scheduling your sessions.

School leaders, we are interested in partnering with your team! Please share your information below.

Name? *

Preferred email address? *

Which role are you interested in? *

I'm interested in receiving coaching

I'm interested in joining as a coach

I'm a school leader interested in partnering

City and state? *

Which of the following best describes your current race or ethnicity? (Please select all that apply.) *

African American/Black

Asian

Caucasian/White

Hispanic or Latin origin

Middle Eastern

Native Alaskan, Native American, Native Hawaiian, or Pacific Islander

Prefer not to answer

Other:

Required

How many years of teaching experience do you have? *

1-2 years

3-5 years

5-10 years

10-15 years

More than 15 years

What subject and grade level(s) have you taught? *

Can you briefly describe the school(s) you have worked at ? (Public vs. private, high-need vs. affluent, urban vs. rural, etc.)

(Optional) How did you hear about us?

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