CI Supplemental Coaching
Please complete to request one or more Continuous Improvement coaching sessions
Designed for those who have taken a CI 101 course, CI 101 and 102, or CI Leadership training, supplemental coaching sessions are available for those needing individual or small group support for their project-based implementation of CI strategies.
I/my group has completed the following training: *
Required
Is this an individual CI project or a Group project *
Brief Project Description *
Your answer
Name (or contact person for group) *
Your answer
School or Organization *
Your answer
Role or Job Title *
Your answer
Email *
Your answer
Phone Number *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Is the address above the site where you would like to receive the coaching. If no, please indicate site request for coaching. *
Your answer
Coaching Date Request 1 *
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YYYY
Date 1 Time Request *
Time
:
Coaching Date Request - Alternate
MM
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DD
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YYYY
Alternate Date Time Request
Time
:
Please describe any particular challenge area you need to have addressed through coaching? *
Your answer
Other questions or comments?
Your answer
Would you like to be added to Spartanburg Academic Movement's monthly emailed newsletter? *
Would you like to be added to periodic (snail) mailings from the Spartanburg Academic Movement? *
Once you have submitted this form, your request will be reviewed and you will be contacted regarding availability and next steps before final confirmation is made.
Mendy Mossbrook, Director of the John T. Wardlaw Continuous Improvement Institute
mmossbrook@learnwithsam.org, 864-573-5804
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