Non-Profit Organization Application

	Non-Profit Organization Application

	Non-Profit Organization Contact Information (Page 1 of 2) Please fill out your contact information below.
	Name of your Organization*
	Brief Description of Organization, incl. Objectives & Structure
	Website URL
	Contact Name*
	Title
	Organization
	Business Address 1*
	Business Address 2
	Business City*
	Business State
	Business Zip/Postal Code*
	Country*
	Office Phone*
	Mobile Phone*
	Fax
	Best Time to Call* Daytime Evening Please indicate the best time to call
	Your Time Zone* Please tell us your time zone
	Email*
	Alternate Email
	Please indicate the extent that the top leadership of the organization is supportive Please indicate the approval & support of the application and Pro Bono Coaching Program

	Non-Profit Organization Application

	Your Goals (Page 2 of 2) Please respond with brief answers to the following, critical questions:
	Question 1: How will coaching of your organization's executives, leaders or other key players impact the work and objectives of your organization?*
	Question 2: For whom are you seeking coaching support?*
	Question 3: What is the organization's commitment to participate in this Pro Bono Coaching Program?*
	Question 4: To what extent will the organization's Board & Executive Team participate in this program?*
	Question 5: How will your organization promote this Pro Bono Coaching Program to its staff and gain their commitment?*
	Question 6: To what extent is your organization williing to support staff to receive coaching during normal business hours?*
	Question 7: How will your organization use this Pro Bono Coaching Program as part of your staff's personal and career delevopmental plan?*
	Should you want to contribute - financial or public relations support -to further the impact of The Coach Initiative's Pro Bono Coaching Program, please see ways to do so below:*
	Please choose one or all from the following list: Donation Grants Corporate Underwriting Information on Website Public Statements by Organization Leadership Testimonials of Clients Other

Non-Profit Organization Contact Information (Page 1 of 2)