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Expert Support Session Booking Form

Page 1

Please complete this form if you are interested in Coaching for Impact with Alexandra Smith or Mentoring for Success with Warren Koehler.

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Question 1.

Your Name

- Required.
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Question 2.

Position within Organisation

- Required.
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Question 3.

Charity/Organisation Name

- Required.
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Question 4.

Organisation type e.g Charity / CIC / CIO / Community Group

- Required.
Question 5.

Charity Number/ HMRC Exemption Number/CIC Number

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Question 6.

Organisation Income

- Required.
Question 7.

Which Community Board area(s) do you DELIVER services to? Please tick all that apply.
If you are unsure of which area(s) to select, click on link below.

https://www.buckinghamshire.gov.uk/community-and-safety/improving-your-local-community/find-your-local-community-board/

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Question 8.

Organisation Address

- Required.
Question 9.

Website

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Question 10.

Contact Phone

- Required.
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Question 11.

Contact Email

- Required.
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Question 12.

Please indicate whether you have a preference for phone or zoom/teams meetings.

- Required.
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Question 13.

Session you are interested in

- Required.
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