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A2C Coaching Intake Form
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Email
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Your email
First Name
Your answer
Last Name
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Organization and Role
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I am looking into coaching for...
Myself
Another person
Other:
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Have you been coached before? What is your experience? (not needed if you are looking into coaching for another person.)
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Why are you thinking about coaching? What do you hope to get out of the experience?
Your answer
How do you see diversity, equity, and/or inclusion in your work or the work of your work? Is this something you would like to pay attention to in your coaching experience?
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Anything else you'd like me to know?
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I am interested in... (filing this out does not constitute a contract)
The 10 session weekly package: 1 intake session and 10 coaching sessions: $2,700
The 10 session bi-weekly package: 1 intake session and 10 coaching sessions: $2,900
The 20 session weekly package: 1 intake session and 20 coaching sessions: $5,000.
The 20 session bi-weekly package: 1 intake session and 20 coaching sessions: $5,500.
Other:
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