Application Form

Life@Work Coaching
or Wisdoms@Work Online

I am delighted you are applying! Please take some time with this application as a way of introducing yourself. Then we will have a short interview on Zoom. I look forward to it. Please fill out the form and submit.

Name (required)

Date of Birth

Age

Address

Home Phone

Mobile Phone

Work Phone

Email (required)

Are you applying for Life@Work Coaching or Wisdoms@Work Online?

What education and professional training have you had? Please list any professional degrees and certificates.

What is your current job/role?

What do you most enjoy at work?

What is most challenging?

What changes or outcomes in your personal or work life would you like to see as a result of our work together?

Please share your experience with and current relationship to mindfulness or spirituality. Do you currently have a spiritual practice? If not are there practices or a path you are exploring?

How did you find out about Wisdoms@Work?

Do you have any questions for me?

Please sign up for an interview at irini@five-wisdoms.org

Please sign up for an interview at irini@five-wisdoms.org