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Executive Coaching Interest

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1Personal Information
2Practice
3Coach Details

Haven Haus Coaching Interest Form

Complete the form if you are a Certified Executive or Leadership Coach seeking to join the Haven Haus group to serve Black professionals. Once complete, our team will reach out via email within 3 business days regarding your interest form and next steps. If you do not receive a response, please check your Spam or Junk mailbox prior to reaching out. If you still have questions, contact coaching@blkhaven.com
Name*
This number is for Haven Haus to contact you and will NOT be shown to the public.
Location*
Which best describes you?*
Non-certified coach interests are still considered. However, most of our Executive & Leadership coaching contracts require International Coaching Federation (ICF) Certified Coaches.

Coaching Practice

What’s Your Style?
Select your coaching specialties (Select up to 3)*
Which career stages do you prefer to work with as an Executive Coach? (Select all that apply)*
What is your preferred coaching format? (Select all that apply)*
How would you describe the flow of interaction during one of your typical coaching sessions? (Select all that apply)*
When are you able to see clients? (Select all that apply)*
Do you have an existing client base as a coach?*

Coach Details

Tell Us About You!
I speak the following languages, other than English. (Select all that apply)*
I identify as a coach from the following background. (Select all that apply)*
If none, type N/A
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