GAP2017 - Application for 3 months GAP Leadership Coaching
The form has to be filled by the Changemaker who wishes a coach to be assigned to him/her. The coaching assignment will be for 6 sessions over 3 months.
Name of the GAP Changemaker *
Please write your name
Your answer
My contact number *
Please give your best phone/mobile number to call, including country code
Your answer
My location *
Write down the name of the place (village, town, district, state)
Your answer
My email id *
Please give your email id
Your answer
What do I want to achieve as a GAP Changemaker? *
Please write down your vision
Your answer
Why do I want a GAP coach to be assigned to me ? *
Please write down your reasons for requesting a coach
Your answer
Your preferred GAP coach
You can opt for a specific GAP Coach listed on our website. The assignment will be done based on the Coach’s availability. If you haven’t chosen one, we will assign a suitable Coach
Your answer
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