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* 1. By completing the form below, you are expressing your desire to be included in the pro bono coaching pool for the ICFF Coaching for Social Impact pilot. You will receive follow-up questions and information should your services match with the coaching needs for this engagement. This is a pro bono coaching project for one full year, and no compensation will be awarded.

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* 2. First Name

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* 3. Last name

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* 4. Email

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* 5. City, State/Region

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* 6. Country/Region  you are interested in working 

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* 7. Do you have an active ICF global membership?

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* 8. ICF Credential

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* 9. If you are a member of an ICF Chapter, please enter your ICF Chapter.

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* 10. Gender

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* 11. Do you speak English?

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* 12. What other languages do you speak with proficiency?

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* 13. Are you able to provide coaching to one non-profit leader (social entrepreneur) over 1 12-month period ( dates to be confirmed) ?

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* 14. Experience Coaching with the following themes/competencies/specialties (select all that apply)

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* 15. What makes you an ideal coach for the opportunity to coach non-profit leaders through the ICF Foundation's research pilot project?

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* 16. Please upload your resume/CV

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