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Scholarship Intake Form

Thanks for applying for the Coach Africa Scholarship. 

In reviewing your scholarship, we would like to learn a little more about yourself.

The questionnaire will just take 2 minute to complete.

Please ensure you tick the "Subscribe to email list" at the end of the survey, so we can send you a follow up email to inform you about your scholarship application. You may unsubscribe at anytime.

Coach Africa Team

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Question 1 of 8

Which of the below best defines you? I am….

A

A Corporate Executive interested in becoming an in-house coach

B

A Leader starting my journey towards professional coaching

C

A Coach seeking to deepen my technical skills

D

Interested in becoming a coach

E

Just curious about coaching and trying it out

F

Representing my organisation and we want to know more about coaching as an intervention

Question 2 of 8

What's your Company Name of name of your employer? Please also list your department.

Question 3 of 8

Why are you applying for this scholarship? What makes you believe you are the right fit for the Program?

 

Note: Please take your time to seriously complete this question, otherwise you will not be considered for the scholarship. 

Question 4 of 8

What was your yearly income in 2023?

A

USD 0-10,000

B

USD 10,000-25,000

C

USD 25,000- USD 50,000

D

Over USD 50,000

Question 5 of 8

In which country do you currently live?

Question 6 of 8

What is the best number to contact you on? A whatsApp number is preferred, please add your country code, so use this +234........   

 

Question 7 of 8

Which of the below services would you like to learn more about?

(Select all that apply)
A

Nurturing a coaching culture in organizations and/or Leadership & organization development programs

B

Improving my coaching skills and getting (internationally) certified as a coach

C

How to build a thriving online coaching practice and get more high-paying clients

D

None of the above

Question 8 of 8

How did you learn about this scholarship?

A

Facebook

B

Linkedin

C

Instagram

D

Coach Africa Emails

E

My network

F

Others

Confirm and Submit