Let’s set your coachee up for success. We will align our coaching work with the goals and expectations of the organization. Fill out this short form to ensure the coach has the right context to best support. Coaching Sponsorship Intake Form LEADER (COACHEE) INFORMATION Leader Name Leader Name First Name First Name Last Name Last Name Leader Title Location Tenure with the Organization Less than 1 year1-3 years3-5 years5-10 yearsGreater than 10 years Brief Career Snapshot (1-2 sentences about their career within the organizaiton) SPONSOR / STAKEHOLDER INFORMATION Name Name First Name First Name Last Name Last Name Title Relationship to Coachee (e.g., manager, skip-level, HRBP) Email Phone LEADER ASSESSMENT What are the leader’s key strengths? What are the leader’s key development opportunities? Is this leader considered top/high potential talent? YesNo Is this leader identified as a successor in any critical succession plans? YesNo FEEDBACK & COACHING READINESS Has the leader received clear, direct feedback regarding development needs? YesNo If yes, how was the feedback received? On a scale from 1 to 10 with 1 being completely lacking self-awareness and 10 being highly self-aware, how would you score this leader? 1 2 3 4 5 6 7 8 9 10 On a scale from 1 to 10 with 1 being completely closed off to coaching and personal development and 10 being highly open to development, how would you score this leader? 1 2 3 4 5 6 7 8 9 10 Has the leader participated in coaching before? YesNo If yes, please describe the previous experience including coaching firm engaged and outcomes of the engagement. COACH PREFERENCES AND CONTEXT What style, background, or characteristics would make a coach most effective for this leader? (e.g., industry expertise, leadership style, functional experience, communication approach) Is there any additional information that would be helpful for the coach to know? Submit If you are human, leave this field blank. Δ