Intentional Solutions Coaching & Consulting - Coaching Consultation Form

Intentional Connections & Group Coaching Application

Intentional Solutions Coaching & Consulting
Date*

MonthDayYear
Date
Thank you for your interest in an Intentional Solutions group.

Groups offer the opportunity to reflect, learn, bond, and grow through community. Depending on the focus, groups are generally limited to three to seven participants and held on a virtual (e.g., Zoom) platform.

The following are required to participate in groups:
- Pledge to attend coaching sessions.
- Commitment to engaging in purposeful new behaviors systematically and persistently.
- Willingness to share openly and actively to support the development of the group through participative engagement.
- Demonstrating an attitude of humility, a reception to feedback, and a focus on lifelong learning.
Please complete this form to apply for a spot in one of several group opportunities currently offered.

The next step is a one-on-one conversation to share more about you, and an opportunity to ask any questions you may have to determine whether an Intentional Solutions group is right for you.
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Date of Birth

MonthDayYear
Date
In which group would you like to participate? Please indicate the name or focus of the group.*
What's bringing you to coaching or a discussion group at this time?*
What, if any, previous experience with or exposure to coaching or discussion groups do you have?*
What would you like to get from the group?*
What would you like to contribute to the group?*
What else would you like to share?*
Should be Empty:

Intentional Connections & Group Coaching Application