To Register for One-on-One Coaching

Use this form to register for our one-on-one coaching sessions–for either yourself as a participant or for someone else if you are a learning coordinator or manager. If you need more information on completing this form, please contact Margie Bermel, our Training Coordinator.

You must complete a separate form for each participant you wish to register.

If registering yourself as a participant, please enter NA on all of the  fields in the section “Information on learning coordinator.”  If registering someone else in your role as manager or learning coordinator, please complete both the section on the participant and the one on you.

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After receiving your completed form, our Training Coordinator will contact you to discuss the nature and scheduling of your coaching sessions.

Information on coaching participant

Participant name:
Job title/function:
Email address :
Telephone :

Information on learning coordinator (if applicable)
If you are a manager or learning coordinator who is registering the above participant, complete this section in addition to the section above. If you are registering yourself as the participant named above, enter NA in all fields in this section.

Name of training coordinator or manager:
Email address :
Telephone :

Topic area for coaching
Generic WordTask course on which you would like the coaching to be built:

Other writing areas you would like the coaching to include, in addition to the above:

Not sure / Not applicable

Business writing

Technical writing


Presentation skills

English as a second language

Grammar and style

Other. Please specify below.

Add any other information on specialized coaching needs.

Desired start of coaching period:

City in which coaching to be held:

Payment method: