Welcome to the ZIP-IN Coach Interest Form!

This form is the first step for people interested in becoming a Coach for regional ZIP Coalitions to express that interest and tell us why you would be a good fit. Community Solutions will be managing the coaching process and has been involved in ZIP-IN Coalition work since its start. If you have not done so already, please review the Coach overview before submitting an interest form. A Community Solutions team member will be reviewing submissions and will follow up within 3 business days after submission to connect for a one-on-one conversation. Thank you for your consideration of this opportunity. This is a confidential application. If you have any questions, please contact Erin Marshall at erin@communitysolutionsinc.net.

Deadline for Coach interest form submissions is July 6th.

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* 1. Please enter your contact information below

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Map of ZIP regions with County names:

<strong>Map of ZIP regions with County names:</strong>

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* 2. In which region do you live? (Refer to the image above)

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* 3. Which regions are you interested in coaching? (Please pick your top 3)

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* 4. If you are currently employed, where do you work? (If you prefer not to say, please enter "N/A")

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* 5. Do you have flexibility to attend meetings that happen between 9:00 AM and 5:00 PM, Monday through Friday?

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* 6. Do you have availability to attend meetings that happen after 5:00 PM, Monday through Friday?

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* 7. Are you able to attend meetings virtually, in-person, or both?

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* 8. How did you first learn about the Zero Is Possible Indiana (ZIP-IN) Plan?

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* 9. People with nontraditional backgrounds and subject matter expertise, specifically people with lived experience, are encouraged to apply. If you’re comfortable, please indicate which of the following you might use to describe yourself or your experience. We ask this question to ensure the ZIP-IN Coaching program lives out the intention to engage and be led by people with lived experience.

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* 10. Please tell us about yourself. -- Why are you interested in becoming a ZIP-IN Coach? How do you work with and support organizations or coalition leaders? In what ways do your beliefs and experience align with the ZIP-IN Plan goals and values. Describe any experience you have working alongside grassroots leaders. What else would you like us to know?

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* 11. What questions do you have?

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