GAP2017 - Coach Interest Form
Coach's Personal Details
Full Name
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Organisation
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Current Role/Profession
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Address
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Town/City
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Country
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Website
Please enter http:// and then your website address
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Email
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Mobile Phone
Please include your country code in your phone number
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Preferred Language for Communication
Please also mention the languages you can coach in
Required
Coach's Profile & Introduction
Please summarise your coaching experience and also introduce yourself in no more than 1000 characters
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Reasons for Interest
Why are you drawn to participating in the GAP Coaching programme?
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What is your experience in the social change area?
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What unique experiences and skills do you think you bring to this coaching program?
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What type of Changemaker would you like to coach
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Once on the program, how many hours can you dedicate every month for over a year for coaching activities that impact the Changemaker’s journey significantly?
Your answer
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