Leadership Coaching Program - Participant Profile

Please take time to answer the questions on the following pages. Some of the questions capture information about where you are today. Others will get you thinking about what you want from coaching, from your job, and from life in general. This information will set a good foundation and allow us to move forward.

CONFIDENTIALITY NOTE: The information contained within this application is confidential information, intended only for the use of your Coach and the person completing this application. If the receiver of this application is not the intended recipient, the receiver is hereby notified that any dissemination, distribution, copy or publication of the application is strictly prohibited.

TODAY'S DATE *

Full Name

Phone *

Email *

What is your job title and years with the company you currently work for? *

What do you want to ensure you get from the coaching relationship? What specific outcomes are you seeking? *

How can I best support you as a Coach? *

What do you want from your job? *

How do your job goals support your personal goals? *

What projects are you leading? *

What are your key job goals? *

What skills or knowledge are you developing? *

How do your job goals support your personal goals? *

What else can you do to advance the company’s objectives? *

What do you have to contribute that is unique? *

What special knowledge do you have? *

What do you believe in? *

What do you do when you’re really up against it? *

What activities have meaning and heart for you? *

What needs in the world are you moved to meet? *

What two steps could you take immediately that would make the greatest difference in your current situation? *

What can I say to you when you are most ‘stuck’ that will return you to action? *

Coachability: Ideal Client Checklist *

You are Passionate & Service Oriented

You will Trust me in that all I share and have you do is for your own Best - Interest

You strive and thrive on being a Great leader

You want to grow both Professionally and Personally

You are always Willing to take Full Ownership

You are willing in taking your guard down, be open and are willing to Learn and Grow

You are committed to being a lifelong Learner