Please use this form to provide your coaching background, qualifications, and areas of expertise. This information helps determine potential opportunities for collaboration.

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* 1. Name

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* 3. Contact Information

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* 4. Preferred contact method:

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* 5. LinkedIn Profile URL:

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* 6. Total years of coaching experience:

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* 7. Areas of Specialization: (select all that apply):

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* 8. Coaching Education & Credentials (e.g., ICF, EMCC, and/orUniversity-based programs)

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* 9. Assessment Credentials (e.g., (ALP, HBDI, TKI, MBTI, Hogan, etc.)

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* 10. Please list up to three recent coaching engagements, including organization, industry, and role (if available).

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* 11. Please upload your current professional bio.

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* 12. Please briefly describe your coaching approach:

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* 13. What is your preferred session format?

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* 14. What is your expected coaching rate (per session or per hour)? Please specify your structure.

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* 15. How did you hear about the Center for Leadership and Executive Education (CLEE)?

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* 16. Why are you interested in affiliating with CLEE?

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