Target Learning, Inc.Executive Coaching Request Company/Agency Name: Contact Name: Contact Title: Phone: E-Mail: Coaching Participant's Name: 1. What type of Personal Learning Program do you prefer for the coaching participant? Select from below * On-Site * Online * Unknown at this time 2. Please select the skills you would like the coaching participant to develop. ------------------------------------------------------ Hold Ctrl Key for Multiple Selections ------------------------------------------------------ * Business Writing * Business Reading * Communication Skills * Listening Skills * Training Skills * Management Skills * Memory Skills * Creative Thinking Skills * Critical Thinking Skills * Time Management Skills * Organization Skills * Study Skills/College Prep 3. List any additional objectives you would like the coaching participant to accomplish (be specfic, if possible). Objective 1: Objective 2: Objective 3: Objective 4: Objective 5: 4. Please list any special learning requirements, needs or considerations the coaching participant may have. 5. What level is the coaching participant currently employed at? Senior Management Middle Management Supervisor Staff Line Worker Other ...if "Other", please describe below 6. What department or field does the coaching participant currently work in? Technical Marketing/Sales Administration Operations Manufacturing Security Other ...if "Other", please describe below 7. Do you have a preferred month for beginning the coaching program? Select from below ********** Unknown at this time August 2008 September 2008 October 2008 November 2008 December 2008 January 2009 February 2009 March 2009 April 2009 May 2009 June 2009 July 2009 8. If you selected ON-SITE, do you have a preferred time for the instruction? Select from below ********** Unknown at this time Morning Sessions Afternoon Sessions Evening Sessions Full Day Sessions Weekend Sessions 9. If you selected ON-SITE, do you prefer a set number of instructional hours? Select from below ********** Unknown at this time 2 hours maximum 3 hours maximum 4 hours maximum 5 hours maximum 6 hours maximum 7 hours maximum 8 hours maximum 9 hours maximum 10 hours maximum 11 hours maximum 12 hours maximum 13 hours maximum 14 hours maximum 15 hours maximum 16 hours maximum 17 hours maximum 18 hours maximum 19 hours maximum 20 hours maximum More than 20 hours 10. If you selected ON-SITE, will you be providing classroom or meeting space for the coaching sessions? Select from below ********** Yes No Unknown at this time Questions? Call us at: 888-514-5904Target Learning, Inc. 941 Orange Ave. Unit 231 Coronado, CA 92118
1. What type of Personal Learning Program do you prefer for the coaching participant?
2. Please select the skills you would like the coaching participant to develop.
3. List any additional objectives you would like the coaching participant to accomplish (be specfic, if possible).
4. Please list any special learning requirements, needs or considerations the coaching participant may have.
5. What level is the coaching participant currently employed at?
...if "Other", please describe below
6. What department or field does the coaching participant currently work in?
Questions? Call us at: 888-514-5904
Target Learning, Inc. 941 Orange Ave. Unit 231 Coronado, CA 92118