Emerging Leader Initiative - Coach Interest Form
Contact Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Place of Worship
Professional Information
Current Professional Status
*
Please Select
Business Owner
Executive Leader
Retired
Other
Professional Background (roles held, industries worked, leadership experience...)
Why are you interested in being a coach?
*
As we pair our coaches and participants, we will look at several factors. If you are familiar with any personality profiles/tools (i.e. DISC, Working Genius, Strength, Myers Briggs, Enneagram, etc.) please share any traits or indicators so we can better match you with a participant.
Can you commit to meet with your emerging leader at least 1 hour a month for seven months?
*
Please Select
Yes
No
Have you been a coach/mentor in a formal program before?
*
Please Select
Yes
No
If yes, how rewarding was the experience for you?
Worst
1
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Best
10
1 is Worst, 10 is Best
Do you feel like your mentee listened to advice and made significant progress in their professional/spiritual development?
Worst
1
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9
Best
10
1 is Worst, 10 is Best
Do you feel it was a good investment of your time?
Worst
1
2
3
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8
9
Best
10
1 is Worst, 10 is Best
What is one expectation you have in being a coach with ELI?
*
Share your story of how you came to know Jesus as your personal Lord and Savior?
Submit
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