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Confidence Coach Application
Greetings, Potential Mentors!
Thank you for your interest in becoming a LiveGirl Confidence Coach! Please take the time to answer each question thoughtfully as this data is necessary for placement, reporting, and programming purposes.
Please be mindful of the ask. We need compassionate, energetic, innovative, and caring mentors and coaches to facilitate clubs. We need reliable women who are excited about the work and dedicated to giving their all each session.
Email:
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First Name
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Last Name
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Phone number
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Current School
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Date of Birth
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Street Address
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City
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State/Region
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Postal Code
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County
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Please Select
Fairfield County
Hartford County
Litchfield County
Middlesex County
New Haven County
New London County
Tolland County
Windham County
Other
Highest Level of Education Completed
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Please Select
High School
Associates Degree
Bachelors Degree
Masters Degree
Doctorate
Race/Ethnicity
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Please Select
Black/African-American
Latinx/Hispanic
Multiethnic/Other
White
Asian
What is your occupation?
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(Social Worker, Teacher, Life Coach, Lawyer, Nurse, etc.)
In what industry do you work?
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(Finance, Marketing, Healthcare, Education, etc.)
Resume/CV Upload
Do you have any experience mentoring middle school girls?
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Yes
No
Did you have a mentor during your middle school years?
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Yes
No
Why do you want to be a mentor? What qualities and characteristics do you possess that will make you a great mentor?
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What days of the week are you available for club meetings?
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Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What times of the day are you available for club meetings?
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Mornings (8am-11am)
Afternoons (12pm-4pm)
Evenings (after 4pm)
What are some of your hobbies?
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Is there a passion project you'd like to propose?
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If yes, briefly describe the concept.
I understand that I am required to submit a WEEKLY snapshot (or summary) post sessions.
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I understand
I agree to thoroughly read, respond and adhere to the weekly email sent every Monday leading up to and during the program cycle.
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I agree
I understand that training is MANDATORY for all Confidence Coaches and will be facilitated in two parts:
(1) Virtually to discuss logistics, curriculum, the new coach playbook and best practices RE: facilitation
(2) In-Person for club demonstrations, team building, materials/supplies distribution, and peer mentoring
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I understand
Background Check
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I understand
In order to receive my full stipend - at the rate of $80 per session - I must complete all requirements (i.e. attending training, facilitating all 8 meetings, submitting weekly snapshots, and reading/responding to emails).
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I understand
What is your t-shirt size?
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Please Select
X-small
Small
Medium
Large
X-Large
2X
I understand that photos and videos will be taken for promotional purposes.
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Yes
How did you hear about LiveGirl?
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Please Select
LiveGirl Email/Newsletter
School District Marketing
Facebook
Instagram
LinkedIn
LiveGirl Parent Advisory Board
Board Member
Local News
Eventbrite
Word of Mouth
Other
Comments/Questions
Use this space for additional information you'd like to share that was not already captured.
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