Application Form for Coaching Services

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CoachActivism Program

If you are working/volunteering with a humanitarian organization anywhere around the world, coaching support is available to you.

**An intake call is required to be officially paired with a coach unless explicitly stated by a member of the board** Intake call link : https://koalendar.com/e/coach-activism-call

*All information put into this application is shared only with those needed to connect you to your support within the Coach Activism organization. It will not be shared outside of this organization.

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Each client who participates in the program receives 6 x 45 coaching sessions, provided pro-bono by a professional certified coach. All coaches who participate in the CoachActivism program have received additional training to be able to respond to the specific needs of the volunteers.

Team Coaching - Typically 3-4 group sessions with your coach, as well as access to individual coaching for each member of the team (application for team and individual coaching must be filled out separately).

We do not currently provide services directly to refugees.

Email *

Full Name *

Email address *

Type of Coaching *

Team

Individual

Please click on the link below to set up an intake call. This is required to move forward. *

Set up intake call (date and time) - https://koalendar.com/e/coach-activism-call

Required

I am a current humanitarian aid worker/volunteer, or was in the past 6 months *

Yes

What was your most recent employed/volunteer organization? *

What is your current general job description within the organization? *

How long have you been working with this organization? *

Reason for coaching need? *

Do you have access to therapeutic support, either individually or through your organization? (please check all that apply) *

Yes - I have access to therapy through my organization

I have access to private individual therapy (OUTSIDE of organization)

No - I don't have access to therapy through my organization

No, I don't have access to private individual therapy (OUTSIDE of organization)

I don't know if my organization helps me access therapy

Required

1-2 questions you want to ask during intake call? *

Time zone *

Coaching call availability? *Check all that apply * These are to give us an idea of your need - You will finalize exact days/times with your coach* *

Morning

Afternoon

Evening

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Required

Preferred coaching language - *will attempt to accommodate, but not guaranteed *

Send me a copy of my responses.

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