Application Due 2/12/2021 

WICT NY's Coaching Program for Executive Members

NOTE:  Upon submitting application, send resume and letter of recommendation to wictny.coaching@gmail.com

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* 1. Name

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* 2. Company Name

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* 3. Current Job Title

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* 4. Years of Experience

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* 5. Email

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* 6. Cell Phone #

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* 7. You have an active WICT Membership (or willing to reactivate to apply)

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* 8.  Why have you applied to the Coaching Catalyst program and being as specific as possible, what do you want to achieve from a coaching relationship?

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* 9. What are your perceived strengths and provide an example of how you apply these strengths in your current position?

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* 10. What are your perceived development opportunities that you would like to work on and why?

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* 11. What new skills or knowledge do you want to develop from working with a coach?

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* 12. Name 3 qualities you would like your coach to have that you think would help lead to your success.

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* 13. Is there any other important information you would like to include as part of your application?

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