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Med SLP Coaching Application
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1.
First and last name
(Required.)
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2.
Email address
(Required.)
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3.
Why are you interested in the Med SLP Coaching Program?
(Required.)
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4.
What are you most proud of in your career?
(Required.)
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5.
Describe a time you overcame an obstacle in the past.
(Required.)
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6.
Picture yourself one year from now. Everything has gone right in your career. Where are you?
(Required.)
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7.
What are the biggest challenges that interfere with you reaching your goals?
(Required.)
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8.
How might a clinical and career coach help you achieve your goals?
(Required.)
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9.
Why should you be chosen over the other applicants?
(Required.)
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10.
Please check off what you would like to be included in the program:
(Required.)
Clinical support
Networking strategies
Career advancement guidance
Policy implementation assistance
Other (please specify)