Ms. Mrs. Mr. Dr. Name: Preferred Email: Occupation

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COHORT SELECTION

 Cohort 4-Spring 2018

 Cohort 5-Fall 2018

 Cohort 6-Spring 2019

CONTACT INFORMATION Salutation:  Ms.  Mrs.  Mr.  Dr. Name: Preferred Email: Occupation: Employer: Job Title: Street Address: City, State, Zip: Preferred Phone Number: How did you hear about the program?  EPE Website  EPE Monthly Newsletter  GMU Website  Search Engine  Your Organization  Colleague/Friend  International Coach Federation  Facebook  Twitter  Other________________________________ Promo Code _______________________ APPLICATION PROCESS To complete the application process, send this form along with the following documents to [email protected]. 1. Two letters of recommendation 2. Resume 3. A written statement (approximately 1000 words, double-spaced, 12pt font) that answers the following questions: - What attracted you to the Mason Coaching Program and why now? - What core values drive your leadership? - How do you experience individual and/or organizational well-being? - Describe a time in your life that you had to draw on your resilience. What was the situation and what did you learn? - What can you contribute to this cohort experience?

All documents should be submitted together at the same time as this application.