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Coach Onboarding
First Name
Last Name
What is your pronoun?
What is your ethnicity? (Please select all that apply.)
American Indian or Alaskan Native
Asian or Pacific Islander
Black or African American
Hispanic or Latino
White/Caucasian
Prefer not to answer
Other
Where are you primarily located? (City, Country)
What is your primary time zone?
If you have a secondary location that you spend significant time in, please add that below. (City, Country)
If you have a secondary time zone, please add that below
What is your current phone operating system?
What is your phone number?
Do you hold any Executive Coach accreditations or formal qualifications? Check all that apply.
ICF – Associate Certified Coach (ACC)
ICF – Master Certified Coach (MCC)
ICF – Professional Certified Coach (PCC)
Certified Professional Co-Active Coach (CPCC)
Institute for Professional Excellence in Coaching (IPEC)
European Mentoring & Coaching Council
British Psychological Society - Centre for Coaching
Association for Coaching
Association for Professional Executive Coaching and Supervision
Registered Psychologist
Psychology or Coaching Degree Equivalent
Other
Do you have any Executive Coach Certifications or formal qualifications currently in progress? Please tell us about that as well
Which languages are you comfortable and fluent enough to provide Executive Coaching in?
Which regions have you coached in? Check all that apply
US
Canada
UK
Europe
South America
Asia
Africa
Middle East
Australia
Other
How many total years of experience do you have as an Executive Coach in 1:1 and/or Group Coaching, including your time at HumanQ?
Do you have any business experience via an in-house corporate role (outside of Coaching)?
If Yes, how many aggregated business years of experience in total?
Do you have any human resources experience via an in-house corporate role (outside of Coaching)?
If Yes, how many aggregated human resources years of experience in total?
If you answered 'Yes' to either of the last 2 questions, please list your last 3 job titles, and the company at which you were employed.
To which levels of the organization have you provided Executive Coaching to date, excluding HumanQ Customers?
Individual Contributor
Manager
Director
VP/SVP
C-Suite
Please list all organizations you have had experience coaching at, including HumanQ Customers. Check all that apply.
CEO
University – Student
University – Alumni, University Staff
Silicon Valley Headquartered Tech Companies
Non-Silicon Valley Headquartered Tech Companies
Fortune 500 Companies
Non-Fortune 500 Companies
Start Up Companies
Non-Profits
Other
Please list all organizations names for each of the categories you selected.
Which industries do you have noteworthy experience either in Executive Coaching or Non-Executive Coaching roles? Check all that apply
Technology
Healthcare
Pharmaceuticals
Consumer Products
Retail
Entertainment and Hospitality
Professional Services
Manufacturing
Real Estate
Education
Banking and Finance
Other
Which departments do you have noteworthy experience either in Executive Coaching or Non-Executive Coaching roles? Check all that apply
Engineering
Sales
Human Resources
Marketing
Customer Experience
Accounting & Finance
Operations
Other
How many active years of DEI Coaching do you have in total? Please do not include any DEI training experience.
Have you been certified for DEI Coaching with HumanQ?
Are you interested in DEI Coaching with HumanQ?
How many hours a week will you be available for Executive Coaching at HumanQ?
Is there anything else you’d like to share with us?
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Company size
Less than 100 Employees
101-1,000 Employees
1,001 -5,000 Employees
5,000 - 10,000 Employees
More than 10,001 Employees
Company HQ Location
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How did you hear about HumanQ?
HumanQ website
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HumanQ Employee
HumanQ Coach
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What city do you live in?
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Company size
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Less than 70 Employee
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Less than 30 Employee
Less than 10 Employee
What country do you live in?
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How did you hear about HumanQ?
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