Copy of Peer Coaching 2023

Peer Coaching Group Interest Form

Peer Coaching groups will be created with no more than 8 people per group. Groups will form based on the information provided below to form cohesive groups. Each coaching session, excluding the Intro, will last 2.5 hours. (1 meet and greet + 6 coaching sessions)

Groups will last 6-8 months and each group is facilitated by a Trained Cognitive Coach. Participation cost is $600 for Nonprofit Network members. $750 for non-members.

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* 1. How can we contact you?

Name

Company

Title

Address

City

State

ZIP/Postal Code

Email Address

Phone Number

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* 2. How long have you been in your current position?

less than 1 year

15 years

More than 30 years

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 3. What time works best for you to join a peer coaching group?

	Morning	Mid-Day	Afternoon	Evening	None
Monday	Monday Morning	Monday Mid-Day	Monday Afternoon	Monday Evening	Monday None
Tuesday	Tuesday Morning	Tuesday Mid-Day	Tuesday Afternoon	Tuesday Evening	Tuesday None
Wednesday	Wednesday Morning	Wednesday Mid-Day	Wednesday Afternoon	Wednesday Evening	Wednesday None
Thursday	Thursday Morning	Thursday Mid-Day	Thursday Afternoon	Thursday Evening	Thursday None
Friday	Friday Morning	Friday Mid-Day	Friday Afternoon	Friday Evening	Friday None

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* 4. What options would you prefer?
As of 2022/2023 Peer Coaching was virtual online sessions.

Meet in-person?

Meet on Zoom?

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* 5. If we resume in-person sessions, what location options would you prefer?

Jackson

Lansing

Battle Creek

Hillsdale

Adrian

How many miles are you willing to travel from your preferred location?

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* 6. What are you hoping to achieve from joining a peer coaching group?

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* 7. I'm interested but cost is a barrier.

Yes

Please elaborate so we can review our resources.

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* 1. How can we contact you?

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* 2. How long have you been in your current position?

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* 3. What time works best for you to join a peer coaching group?

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* 4. What options would you prefer?As of 2022/2023 Peer Coaching was virtual online sessions.

Question Title

* 5. If we resume in-person sessions, what location options would you prefer?

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* 6. What are you hoping to achieve from joining a peer coaching group?

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* 7. I'm interested but cost is a barrier.

* 4. What options would you prefer?
As of 2022/2023 Peer Coaching was virtual online sessions.