Welcome to the Family - Community Heart and Soul

Community Heart & Soul is a resident-driven process that engages the entire population of a town in identifying what they love most about their community, what future they want for it, and how to achieve it. Coaches play a vital role in supporting a community’s Heart & Soul effort by serving as a trainer, facilitator, consultant, and advocate throughout the process. Thank you for joining our network of Community Heart & Soul Coaches!

Coach Contact Information

Name:

First Last

Email:

Postal address for training binder:

Street Address Address Line 2 City State ZIP Code

Emergency Contact Information

Please note that we collect this information in the unfortunate event of an accident during a meeting or event.

Name

First Last

Coach Learning Preferences and Technology Experience

What can we do to help you be comfortable and get the most out of our trainings and events?

Please describe your learning style and preferences. What helps or hinders you in online/virtual and in-person learning environments?

Please share your experience with virtual learning as a participant and/or facilitator. What web conferencing systems or online learning platforms have you used and in what situations?

Your Bio

Please insert your bio below. Bios should be no more than 200 words and written in third person. Include your current job and title as well as any experience that is particularly notable or relevant in relation to the Coach role. View examples in the About Us section of this website.

Your Bio:

Image Request

Please provide a professional head shot image to accompany your bio. We recommend submitting several different shots, if possible. Image requirements: File types accepted jpg, jpeg, png. Minimum file size: 200 MB. Minimum file dimensions: 600 x 400. If you have any questions or need more information, please contact us at communications@communityheartandsoul.org for assistance.

File

Max. file size: 128 MB.

Coach Connections

Community Heart & Soul encourages Coaches to connect with each other to share information and resources.

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May other Heart & Soul Coaches contact you directly?

Yes. I am happy to receive inquiries from other Coaches directly.

No. I prefer other Coaches contact my CH&S staff member first.

List areas of expertise that you are willing to share with others in the Heart & Soul network.

(Examples from our current Heart & Soul Coaches include: Gallup-Certified CliftonStrengths® Coach, Certified Technology of Participation (ToP)® Facilitator, fluency in Spanish, FAST® (Families and Schools Together) Trainer, Nonviolent Crisis Intervention®, community planning, and more.)

Additional Information

Please provide any dietary restrictions, physical concerns/needs, hotel accommodation needs/preferences, etc.

By submitting this form, you agree to the Community Heart & Soul, Orton Family Foundation Terms of Use and Privacy Policy. The text, images and other materials on this request are the property of Community Heart & Soul, Orton Family Foundation, ©2023.

Name

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