Coach Application Form Name(Required) First Last Email(Required) Phone(Required)Chapter(s)If you belong to more than one chapter, please list all of them.Time Zone Where You Reside(Required) Eastern Central Mountain Pacific Hawaii Other Your Fellowship Status Full Fellowship Preliminary Fellowship Candidate Aspirant Coach Training and ExperiencePlease share what kind of training and experience you bring as a coach. What are your strengths?Further TrainingPlease share what kind of training you hope to receive as you continue to develop your coaching skills. Where are your edges and how can we support you?Coaching Interest & Capacity(Required)Check all that apply: Anti-Racism Coaching After-Pastor Coaching Review Team Coaching Prefer only one Coachee at a time Willing to Coach up to 2 people overlapping Willing to Coach up to 3 people overlapping Select AllIdentitiesIndicate identities that may be important to a coachee based on information shared in their coaching intake interview. LGBQ+ Trans/Non-Binary BIPOC Disabled Neurodiversity Poor/Working Class Background In Recovery from Addiction None of the Above More Information on Social LocationPlease share anything else you would like to share about your social location that would be useful in coach matching, e.g. more details, specific subgroups of identity, ethnicity, etc.Ministry Settings in Which You Have Served Parish Minister – Large Congregation Parish Minister – Mid-Size Congregation Parish Minister – Small Congregation Community Ministry Chaplaincy in Health Care Chaplaincy in Hospice Entrepreneurial Ministry Spiritual Direction Practice Certified Coach Interim, Developmental, or Transitional Ministry Pastor Partners Coach BiographyPlease provide a brief biography about yourself and your coaching. For examples you can refer to current biographies posted on our website under Collegiality/Coaching/Current Coaches. https://uuma.org/collegiality/coaching/ PhotoPlease provide a headshot photo to include with your biography on our list of Current Coaches. Max. file size: 2 GB. Δ
