Coaching Application

Coaching Application for Employment

Thank you for your interest in joining the New Agenda team! Please complete the coaching application below. After submission, a member of our team will be in touch as soon as possible. Thanks!

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Phone(Required)

Please upload your resume(Required)

Drop files here or

Accepted file types: pdf, Max. file size: 50 MB, Max. files: 1.

What experience do you have working with individuals with executive function challenges?(Required)

With what disabilities do you have experience?(Required)

What experience do you have with goal setting?(Required)

How many days/hours per week are you available?(Required)

Are you comfortable meeting with clients in their home?(Required)

With what age group(s) are you comfortable working? Check all that apply.(Required)

9-12

Teens

College-aged

Adults

Which skills are you most comfortable working on with clients? Check all that apply.(Required)

Life and independent living skills

College Success

Study Skills

Time Management

Organization

Job Skills

Social Skills

How did you hear about New Agenda?(Required)

72232

Serving community members from ages 9-99, our mission is to provide executive function coaching to individuals and families, through in-home, community-based or online support, training, and mentorship to empower independence and success with personal, academic, family, and life goals.