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Community Coaches Program Participant Application

Company Name *

First Name *

Last Name

Title

Email *

Phone *

Address 1

Website

What is your mission? *

What population do you serve?

What is the size of your staff?

What is your budget size?

Summarize the history of your organization.

Is your Board active and experienced?

Please describe your Board.

What are the strengths of your Board?

What type of assistance from the Community Coaches Program are you requesting? Please select one. *

Confidant - A Community Coach will have a one-on-one mentoring partnership with an executive officer or trustee of a nonprofit organization for three months.
Facilitation - Community Coach will facilitate a Board or staff meeting or retreat.
Next Step Coaching - (available as announced by the Nonprofit Center).
Other - please explain below

What are the topics/areas that you would like help with from a Community Coach? Please be specific and as detailed as possible.

What is the anticipated outcome/end result of this coaching request for your organization? Please be specific and as detailed as possible.

What are some potential barriers to successfully reaching this outcome? Please be specific and as detailed as possible.

Please list desired skills or experience of the coach. Please be specific and as detailed as possible.

Is there a particular Community Coach that you have in mind?

Are there tasks/processes/conversations that need to occur before the project begins?

How soon will you be ready to start?

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Community Coaches Program Participant Application