Please complete all questions

Thank you for your interest in the Sheffield Microsystem Coaching Academy. If you are interested in becoming a coach please answer the following questions.

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* 1. Please enter your name

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* 2. What is your contact email?

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* 3. Please enter your work telephone number

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* 4. Which organisation do you work for:

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* 5. What is your current role?

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* 6. Enter your department / where you work

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* 7. Please describe in the box below why you want to become microsystems improvement coach?

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* 8. The coaching programme requires you to attend the course for six months and to coach a team (once a week) and for 18-24 months after this. Are you able to commit to this?

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* 9. Has your line manager agreed to the above expectation?

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* 10. As part of this process we will be contacting your line manager. Please give us your line manager details

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* 11. As part of the course you will need to coach a team. Do you have a team that you can coach?

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* 12. If you have not got a team what would you plan to do in order to recruit one?

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