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Current Company, Not for Profit or Social Enterprise Name:*
Current job role:*
Have you attended an Aspire event before?*
What is your date of birth?
How did you hear about us?*
GoogleWord of MouthLinkedInFacebookTwitterEmailAttended an Aspire EventPrevious Aspire Mentor/Mentee
Which of the following areas would you like to focus your co-coaching program?*
EqualityWealthHomesWell-beingClimateFreedomSelf-esteemGlobal inclusionHealthEducationSomething else, please state
Something else, please state
What stage are you in with regards to your M.A.D. aspirations?*
Starting outIn the middleAdvanced
Give a brief overview of what you have done already with regards to your M.A.D. aspiration and what you aspire to do.*
Do you commit to one hour per month for six months? *
You will need to have access to a quiet place to make the calls and make any payments for the calls (use of Skype is fine):
YesNoI'm not sure
Tell us, in one sentence, what you hope to accomplish with your co-coach.
What language do you prefer your co-coaching sessions be conducted in?*
Do you have any questions?
1. The Co-Coach agrees that taking part in the Aspire Global Inc co-coaching program is entirely at the person’s own risk. Any actions or lack of actions, taken by the co-coach as a result of advice from a co-coach is done so solely by choice and responsibility of the co-coach and is neither the responsibility nor liability of Aspire Global Inc or of the co-coach.
2. Aspire Global Inc is not responsible or liable for the results/outcomes achieved as these are not within the control of Aspire Global Inc.
3. By accepting this agreement, the co-coach agrees to hold Aspire Global Inc free of all liability and responsibility for any actions or results that the co-coach considers of adverse consequence or effect as a result of any information, guidance or referral by the co-coach.
Accept and agree with the above disclaimer of liability.*
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