Volunteer Coach Application
Thank you in advance for your partnership, time, and commitment to help empower others while learning or sharpening your life coaching skills. Partners in Change (PIC) trains volunteers in PIC's asset-focused coaching model then pairs them with community program clients (PIC Members) aspiring to thrive and move their life forward in meaningful ways.

Please complete the following application (less than 3 minutes).

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Email *
As an interested PIC Volunteer Coach, if you choose to join PIC, will you commit to (check boxes below): *
Required
First Name *
Preferred Name
Middle Name
Last Name *
How did you learn about PIC Coaching (choose all that apply)? *
Required
Place of employment, if applicable:
What is motivating you to become a trained PIC volunteer life coach? *
What is one way you'd like to grow during your year of serving as a PIC volunteer coach? *
Are you a professional coach? *
If you are a professional coach, what type?
Clear selection
Place of higher education, if applicable:
Name of your house of worship or spiritual center, if applicable:
Other volunteer, civic, Greek affiliations:
 What other languages do you speak fluently?
Gender *
Preferred Pronouns
Clear selection
Age *
Your Birthdate *
MM
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DD
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YYYY
Check all that best describes you. *
Required
Street Address *
City *
State *
Zip Code *
US Time Zone (please choose your time zone) *
Cell *
Do you have a strong preference for a Male or Female Member partner? *
What is your t-shirt size? *
By typing my full name & date below, I state the information above to be true and correct.
Full Name *
Today's Date *
MM
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