KidLead :: Koach Application

Koach Application

Thanks for your willingness to become a young leader Koach. These are adults who facilitate learning among teams of student leaders under the supervision of a Certified LeadYoung or LeadWell Trainer. You must be sponsored by a Trainer to serve as a Koach. Training includes a manual, book and 2-3 hours of pre-training prior to on-the-job learning to be an effective leadership coach, using LeadYoung Training Systems' methods. (Cost is $50, nearly always covered by your sponsoring Trainer.)

TrainerEmail Address (Who is sponsoring you):
Name:
Birthdate:
Gender:
Street Address:
City & State/Province:
Country & Zip Code:
E-mail:
Alternate E-mail:
Telephone:
Alternate Telephone Number:
Please provide two references who are not related to you and preferably who have seen you in a leadership role and/or working with preteens or teens. Reference # 1 Name:
Contact Information:
Telephone:
Length of time known:
How does this person know you?
Reference # 2 Name:
Contact Information:
Length of time known:
How does this person know you?
Why do you want to become a LeadYoung Koach?
Are you being sponsored by LeadYoung Certified Trainer?
Name of your Trainer sponsor:
What experience do you have as a leader?
What experience do you have working with preteens or teens?
Have you had a background check run on you within the last 3 years and if not, are you willing to let your Trainer have one run on you?
IMPORTANT * List how you want your name badge to read (i.e. Ms. Smith, or Koach Kenny). * What size polo shirt do you want? Specify Women's or Men's: Adult S, M, L, XL, XXL, (XXXL only in men's)