This application form is for prospective coaches who would like to provide coaching and support to AUCD network members around implementing the Equity, Diversity, and Inclusion Action Plan

Activities may involve: 
- Developing materials
- Speaking/Presenting in webinars
- Supporting content for implementation groups
- Providing individualized one-on-one coaching to implementors

 If you have any questions, please contact Katie Johnson (kjohnson@aucd.org). The deadline to apply is April 19th at 11:59pm ET.

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* 1. Name of UCEDD Director providing support for this application

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* 2. Prospective Coach's Contact Information (physical copies of the ED&I Action Plan will be mailed to coaches and implementors, so please provide an address you can receive mail at)

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* 3. Which action steps of the ED&I Action Plan do you have particular strength or expertise in implementing or would feel comfortable providing coaching support on (mark all that apply)

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* 4. In a few sentences, please share where you have found success in implementing elements of the ED&I Action Plan.

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* 5. In a few sentences, please describe what experience you have in coaching, mentorship, training, or technical assistance around equity, diversity, and/or inclusion.

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* 6. Attach prospective coach's cover letter-- one page maximum

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* 7. Attach UCEDD Director's letter of support for applicant's participation in providing outlined coaching -- one page maximum

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