Purpose Pods Form

Name: *

First Name Last Name

Address *

Street Address

Street Address Line 2

Town City

Post Code

Phone Number *

E-mail (for correspondence and replies for this Purpose Pods only) *

Please select for additional use of email by EmotionALL

EmotionALL newsletter/information regarding adults EmotionALL newsletter/information regarding children and teens

Emergency Contact ~ In the case of any emergency whilst you are online I require a contact number for an emergency contact for you? Name/contact number/your relationship to this contact. Thank you *

Dates & Times

Tuesday evening session will be hosted on zoom at 8-9pm

Thursday daytime session will be hosted on zoom at 11am-12pm

Tuesday Evening – 8-9pm
Introduction and Tech Check Session – Tues 7th Sept 8-9pm

Group will select and agree dates during the Intro and Tech Check session from the dates listed ~

Sept 14th, 21st, & 28th and Oct 5th, 12th, (Break for Oct Midterm), Nov 2nd, 9th, 16th, 23rd ….cont.

OR

Thursday Daytime – 11am-12pm
Introduction and Tech Check Session – October dates to follow

Group will select and agree dates during the Intro and Tech Check session from the dates listed ~

*October dates to follow

1hr Tech Test & Intro

Session 1 - 5 Group Coaching

Session 6 - Key Take-aways, Celebration, and Evaluations

Zoom session will be recorded and placed within a private facebook group that all course participants will be invited to for the duration of the course so catch up available. (if all participants are agreeable for each to be shared)

Course Choice ~ Each Purpose Pod lasts for 6 sessions (+tech check date) and is hosted twice each week. Tuesday evening session 8-9pm & Thursday daytime 11am-12pm. Which would you need/prefer to attend? *

Tuesday 8-9pm (starting Sept. 7th) Thursday 11am-12pm (Oct. dates to follow) I would be able to attend either

Purpose Pod Information

Weekly 60min session will be hosted on Zoom
All participants will be invited to a private Facebook group
Zoom links will be posted within the Facebook group each week
A recording of the sessions will be placed in the Facebook group for any required catch up (I will check in each week for participants permission as sometimes the recording needs to stay within the group in attendance)
During a 60 minute session as well as rich coaching conversations there may be small topical coaching presentation, use of screen share, breakout rooms, visiting coaches, group sharing, Q&A, accountability conversations, etc.
There will be opportunities to dive below the surface of a whole range of self-development topics, so that quality learning can take place
The Facebook group will become our own safe community to share any relevant information and accountability between the meet-up sessions
I will appear LIVE on the Facebook group, share relevant articles and reading suggestions, and encourage open participation
The amount of participants in a Purpose Pod will be kept small, Max 6 per group (minimum 3). This means (unless we have objections to joining together) there would be max 12 within the private facebook group from both the Tuesday and Thursday Pods.

Inclusion - I strive to make all learning experiences inclusive. As an educator of many years I am aware of a whole range of learning differences and preferences and endeavour to ensure I consider these in my planning and presentation of the course. Please let me know of any learning differences that may cause any barriers to you making the most of the course.

Taboo Subjects - Please let me know in advance if there are any subjects that may currently cause trauma triggers or bring up any undue stress. As this is group coaching anything can come up so having advance notice will support me to redirect this conversations and speak to people privately around this should this situation arise.

Coaching Topics - There are always common topics that come upon in coaching sessions, and week on week, this can change. Please share if you have any thoughts around what you may like to explore, gain from, and take-aways from the group coaching. This is not essential or fixed, just useful to know and may support my planning and preparation.

Confidentiality & Privacy - This course will provide a safe space for participants to share aspect of their own emotional wellbeing and growth. At times things shared within the group may be of a confidential nature. I therefore ask that whilst we must feel free to share our own learning and growth we MUST NOT SHARE other people's information. *

I agree to keep other people's information shared within the group confidential

Additional Information

EmotionALL Coaching and Wellbeing endeavours to provide a high level of service and continually strives to make all coaching and courses as accessible to all participants as possible.

As a Life Coach I participate in regular training and continued professional development, e.g. -

BEd (hons) Degree in Education + 20yrs+ teaching, training, and leadership experience
Transformational Life Coach Training with Animas School of Coaching
SOMA/Youth Mindfulness Teacher
NLP (Neuro-Linguistic Programming) Practitioner
Children & Teen Yoga Instructor
Physical First Aid and Mental Health First Aid are undertaken regularly
Safeguarding Training undertaken regularly
Public Liability Insurance for all services delivered
Regular CPD in-line with Teaching & Life Coach Requirement

Payment ~ I agree to pay the full amount of £60 for my 'Purpose Pod' booking, 1 week prior to the start date. *

Payment is by bank transfer - transfer details will be sent to you by email following receipt of this form - Thank you.

Questions & Concerns ~ Please feel free to ask questions, make comment, or share concerns here. If necessary we can arrange a call to work through these.

Where did you hear about EmotionALL Coaching and Wellbeing and 'Purpose Pods'? *

Signature *

Clear

Terms & Conditions ~ If the need arises for any participant to cancel their membership to their Purpose Pod I am always available to discuss this and work together towards a mutually agreeable outcome. As a business with overheads I would keep a 20% of all outstanding sessions to cover overheads. I hope you understand the need for this.