Coaching Sponsor intake Form Contact Information Your name * First Name Last Name Your job title * Coaching candidate's name * First Name Last Name Coaching candidate's job title * Your email * Coaching candidate's email * Your phone number * (###) ### #### Company * Questionnaire What role does this team member play on your team? * How long have they been in their current role? And how long have they been with Tower Hill? * How long have you worked with him/her as their leader? * What are the 3 development goals you would like to see this team member work towards in this coaching program so we have something to measure for success at the end of the program? * Do they know they are being considered for succession planning? * If so, have you shared the development goals you listed above with this team member so they know what is expected of them to work towards in their development so we are all aligned in what we are working towards? * Will this team member have a quiet space for their coaching calls so there are no distractions? * What do you feel this person does best in the role they have on your team? * Part of the success of a coaching program is to have regular feedback calls once a month with the coaching sponsor to gain insight into the team member's growth or any challenges that you are seeing that the coach will need to be aware of. Will you be able to connect once a month to touch base? * Have they ever worked with an executive coach? * Yes No I'm not sure If you have partnered with a coach in the past please let us know what is most important to you in this relationship so we can serve you and your team members best. * Have they asked for coaching or are you recommending them for coaching? * What is/are the most likely advancement opportunities for this individual at Tower Hill? * In addition to CliftonStrengths, does Tower Hill have any other “psychometric data” for them (DISC, MBTI, etc)? Please specify. * What are YOUR top 5 strengths from the Gallup CliftonStrengths assessment? * This will help us better understand how you and the coachee you are sponsoring can work best together. Thinking from a strengths-based lens, where does the candidate have the most potential to be developed based on their strengths? * In addition to coaching them around their strengths, is there anything else we need to know about this individual before we begin coaching? * Confidentiality Acknowledgement * By checking this box, you acknowledge that you have been informed that the coaching relationship is confidential and the executive coach will only be permitted to share a limited amount of information with you pertaining to discussions that happen between the executive coach and the coachee. If you would like any additional information or clarity about the confidentiality terms, they can be located by copying and pasting this link into your browser and viewing the document: https://www.dropbox.com/scl/fi/charnas2vj72l9hbixzq1/Executive-Coaching-Expectations-for-Tower-Hill.pdf?rlkey=h0u7sq5rlb6lhyn9g2ov1u7q1&dl=0 Thank you!
