Monthly Group Coaching Session Request - Compassionate Childcare

Thank you for your interest in Compassionate Childcare’s Monthly Group Coaching Sessions!

Please complete this application as completely as possible and submit to us so that we can evaluate your needs. We will contact you within 48-72 hours to discuss scheduling your group sessions.

Group Name (If your group is informal, please create a name) *

Preferred Email *

Preferred Phone Number

How many members are in your group?

Number of sessions desired?

Please list three (3) adjectives you would use to describe your group as a whole.

What do you wish to accomplish or experience as a group from these coaching sessions?

Describe the topics your group is interested in learning about. If no specific topics come to mind, it is ok to simply describe challenges you are facing and how you would like to grow.

Are there any sensitive topics, emotional dynamics, or complex relationships inside of the group that we need to be cognizant of before entering your group's space?

Where does your group meet? Is there a specific location? Will meetings be hosted at different locations each time? If so, please indicate a general neighborhood or location where the meetings will be held.

Please list ideal days of the week and times you are interested in meeting. If your group has a specific meeting time with little or no flexibility, please note that below.