Winter 2020 Registration
Please use this form to register for all forms of coaching with Leanne Powner for the Winter 2020 term (Jan 6 - Apr 24).
Full Name (for invoice)
Field of Study/Department
Preferred email address
School/Work mailing address (required for billing, even for private payors)
What coaching program are you registering for? Fees for all programs are listed on my website.
Faculty academic coaching (60 min)
Faculty accountability coaching (30 min)
Developmental editing - continuing client
Developmental editing - new client (prior agreement required)
What persistent schedule conflicts (classes, standing meetings) do you have for the term that we would need to schedule around? If you are on full time writing status with no commitments, write "none." I will use this information to generate the draft schedule.
What is your time zone?
I understand that by submitting this form, I am committing to a semester of coaching as selected above and will promptly pay all associated fees. Payment arrangements are available by request.
Never submit passwords through Google Forms.
This form was created inside of Jay and Leanne.