Lean into Life™ Walsall - Initial Enquiry Form

Date-Time

dd-MMM-yyyy HH:MM

Lead Source

Welcome to Lean into Life Walsall,

Thank you for considering training as a Community Coach.
The unique Lean into Life Walsall Coach training is being offered to suitable candidates within Walsall to enable them (once trained and certified) to deliver the Lean into Life Walsall™ programme within their own community.

There are no strict criteria for applicants, as all candidates for this training will be individually assessed. Please don’t assume that you are required to have certain qualifications to apply. We are most interested in your individual qualities and your passion for making a difference to the mental and emotional health of your community!

Please complete the questions below:

Name

Title First Name Last Name

Address

Street Address Address Line 2 City State/Region/Province Postal / Zip Code

Email *

Phone

Date of Birth *

dd-MMM-yyyy

If YES, please state your Role / Job Title within this organisation

If YES please state which community project you are connected to, and what role you have within this community.

If you are not currently connected to an existing community project or organisation, please state which community you wish to support and the reasoning behind this.

Are you wishing to focus on a specific group within the community? Please share…

The Lean into Life training is delivered via various platforms including online webinars and an online portal.

Lunch will be provided for the all day sessions. Do you have any dietary requirements or food allergies? *

Please give details or type N/A if no allergies or special requirements

Where did you find out about the Lean into Life training? *

Finally, please share your thoughts on why you feel this training, and the subsequent delivery of the Lean into Life programme will benefit your particular community. *

Thank you for taking the time to complete this initial enquiry form. The Lean into Life training team will now assess your application and will be in contact with you as soon as possible. We are thrilled that you, like us – are passionate about making a difference to the mental and emotional health of your community, and in so doing- are contributing to a happier, more peaceful planet!

Lean into Life™ Walsall - Initial Enquiry Form

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