Coach Connect Coach Interest Form

To be eligible to participate as a Lead or Volunteer Coach, you must satisfy several criteria including:

1. Your membership is in good standing with ICF Global and ICF Toronto Chartered Chapter

2. You hold an ICF credential or have completed a coach training program approved by ICF Global and are working towards your ACC, PCC or MCC credential

3. You have read and adhere to the ICF Code of Ethics

4. You can meet the minimum time commitment for coaching as noted in the Coach Connect Program Overview

5. Commitment to perform all role responsibilities for your respective role (i.e., as a Lead Coach or as a Volunteer Coach) as noted in the Coach Connect Program Overview

Contact Information

First Name *

Last Name *

Best Phone # to reach you *

Email Address *

Website URL

How did you find out about this program?

Program Participation

Please indicate if you are interested in a Lead Coach or the Volunteer Coach role. For role descriptions please refer to the Coach Connect Program Overview document.

If you have indicated a Lead coach role, do you currently have a partner organization that would be interested in participating in the Coach Connect program? If yes, please indicate the name of the organization and the best way for the ICF Toronto Community Outreach Committe to get in touch with them.

Lead Coach or Volunteer Coach role? *

Name of Partner Organization interested and contact information

Coaching Experience, Training & Programs

Please describe your coaching experience, practice, training and certifications:

Years of coaching: *

Number of clients: *

Education and other relevant certifications *

Coaching Credentials: *

Why are you interested in the Coach Connect Program?

What do you do outside of work that you are comfortable sharing, i.e., hobbies, interests, etc.

If you would like to meet in person for one or more of the coaching sessions, what would be the major intersections closest to where you would like to meet?

Short Bio / Areas of Interest and/or Expertise

Please list any specific communities or causes that you have an interest in

Please complete the form by Monday, September 30, 2019