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Leadership Coaching Request Form
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Leadership Coaching Request Form
Your Organization's Name
*
Your Name
*
Your Email Address
*
Your Relationship with Coachee
*
Seeking coaching for myself
Direct supervisor
Superior but not direct supervisor
HR or Talent team member
Other
Your Relationship with Coachee
Coachee Name
*
Coachee Title
*
Coachee Email Address (we will not contact them)
*
Why is this person and their team's success important to the organization?
*
Please describe at a high level why you are seeking coaching for this person:
*
If you had to summarize it into a sentence, what is the primary goal you'd like the coachee to work on?
*
What is the secondary goal?
*
Any additional goals?
Has the concept of coaching been communicated to the coachee yet?
*
Yes
No
How has the interest in seeking coaching been described to them?
*
Who are the primary stakeholders who will need to be informed and involved throughout the coaching engagement?
*
What is the timeline for this engagement? How soon would you like to get started? Any important deadlines we should be aware of?
*
Anything else important for us to know about the coachee, their situation or the organizational context?
Submit
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