Coaching Cohort Nominee Questionnaire
Nominee Questionnaire

Please be sure to complete and submit the following questionnaire on or before Friday, May 11th. The admissions committee will notify candidates of their decision on a rolling basis. It is advisable to submit your application as soon as possible because enrollment has resulted in waiting lists in the last two years.
Today's Date:
Open the calendar popup.
First Name:
Last Name:
Preferred Name:
Name of School:
Email Address:
Please provide an email address that will be routinely checked over the summer months.
Please provide a phone number where you may be reached during the summer months, before the program commences (a cell phone is preferred).

Major Responsibilities:
Years in current position:
Previous roles:
How many people are on your team?
Why do you want to participate in this cohort?
List any topics or issues that are of particular interest to you:
Please review and check to confirm:
I commit to attending the Orientation Session on May 16, 2019 and each of the subsequent Additional Sessions on August 15, 8:30-3:30; September 19, 1:00-5:00; October 17, 1:00-5:00.
I confirm

As an added security measure, please enter the following text in the box below.

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