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GAP2016 - Coach Interest Form
Coach 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
Your answer
Preferred Language for Communication
Please also mention the languages you can coach in
Required
Coach Profile & Introduction
Please summarise your coaching experience and also introduce yourself in no more than 1000 characters
Your answer
Reasons for Interest
Why are you drawn to participating in the GAP Coach 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?
Your answer
What type of Changemaker would you like to coach
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How many hours per month can you make yourself available for the Coaching practise
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