2020 Application - Due 3/4/20

WICT NY's Coaching Program for Executive Members

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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. Have you ever worked with a professional coach? If so, tell us about the experience and what you accomplished. (up to 250 words)

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* 9. What do you want to achieve from a coaching relationship? (up to 250 words)

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* 10. List 3 qualities you would like your coach to have that you think would help you lead to your success?

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* 11. What do you hope to achieve at this stage in your career in working with a coach? (up to 150 words)

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* 12. What skills or knowledge do you want to develop? (up to 150 words)

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* 13. What accomplishments must occur for you to consider your career satisfying? How do your career goals support your personal goals? (up to 250 words)

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* 14. What special knowledge do you have that makes you unique?

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* 15. What are your perceived strengths?

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* 16. What are your perceived weaknesses that you would like to work on?

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* 17. Why have you applied to the Coaching Catalyst program?

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* 18. Being as specific as possible, name one goal you want to achieve through the Coaching Catalyst Program.

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* 19. On a scale from 1-10 (1 being the lowest), where are you now in achieving that goal?

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

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* 20. How will it feel when you achieve this goal?

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