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Peer Coaching Program Interest Form
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* Indicates required question
What is your first and last name?
*
Your answer
What is the best email to contact you?
*
Your answer
If you prefer to be contacted by phone, please share the best phone number to reach you at.
Your answer
Which of the following are you most interested? (Choose all that apply.)
*
Peer coaching for my organization (groups of up to 30 employees)
Peer coaching for individual employees in my organization (between 1-29 employees)
Peer coaching for myself
I'm not sure yet, I need to learn more
Required
Which best describe those you envision participating in peer coaching? (Choose all that apply.)
*
Supervisors and managers
Senior leaders
High-potential individual contributors (future leaders, leadership bench)
CEO, executive level leaders
Non-profit executive director
I'm not sure yet
Other:
Required
What interests you about peer coaching? (How does this align with your organization's or personal goals?)
Your answer
What questions do you have about peer coaching?
Your answer
How would you prefer to receive information about peer coaching?
*
Via email
By phone
Schedule a 20 minute call to discuss
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