AAWR Professional Group Coaching Application 2026
Selected participants will be asked to provide feedback at the conclusion of the program to help inform future AAWR coaching offerings. Completion of the application does not guarantee acceptance. Once accepted, you will receive an invoice for payment of $200.
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
Interest in Coaching
Why are you interested in participating in this coaching program?
*
Topics of Interest
What topics would you like to explore through coaching?
*
Burnout
Communication
Effective Leadership
Part-Time Work
Setting Priorities
Promotion
Work Conflicts
Working as a Team Member
Other topics or specific challenges you'd like to discuss?
What stage are you in your career: Early, Mid-Career, Senior?
*
Scheduling Preferences
Please indicate the best times for you:
*
Weekdays During the Day
Weekdays During the Evening
Weekends
Confidentiality Agreement
All conversations will remain confidential, not to be discussed with anyone without written permission from you.
*
I acknowledge and agree to the confidentiality policy.
Submit
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