SupporTED is an independent program of the Harnisch Foundation. TED logo used with permission. TED Coach Application

TED Coach Application

Please indicate whether each of the following statements and/or requirements is true for you. If a statement is not true for you or reflects an agreement you are not willing to make, that's a "no."

Y	N	I am a practicing coach in good standing in the coaching community.
Y	N	I agree not to solicit clients or market my services in any form to TED, TED members, and the TED Fellow I am selected to coach.
Y	N	I commit to abide by the ICF Code of Ethics with emphasis on confidentiality, conflicts of interest, and primary focus being the TED Fellow's best interest.
Y	N	I will notify the SupporTED coaching administrators when the TED Fellow connection is initiated.
Y	N	I will advise SupporTED of the status and health of the coaching relationship after the fifth session of this commitment.
Y	N	I will notify SupporTED when the coaching commitment is completed.
Y	N	I will notify SupporTED if the coaching relationship continues beyond the initial commitment of 10 sessions.
Y	N	I understand that submission of this application does not guarantee inclusion in the SupporTED coaching pool or selection for a current TED Fellow.
Y	N	I am providing a current professional bio and photo with the completed application.
Y	N	I understand that this is a pro-bono agreement and I will not receive remuneration from TED or the TED Fellow.
Y	N	I agree that the TED organization has no liability or responsibility for the quality of coaching I provide and for any situation that might result in a conflict of interest or legal matter.

Name: Primary Email: Mailing Address: Day Phone: Mobile Phone: Skype Name: Twitter Name: Number of years as a professional coach: Primary area of coaching expertise and focus: List applicable training or education programs you've completed: Current Coaching or Professional Credentials: Language Fluency: Areas of Interest (i.e. environment, arts, non-profit, Africa, creativity, etc.): Description of your coaching style (i.e. direct, gentle, nurturing, edgy, etc.):

	I have provided truthful information and I agree to abide by all of the agreements to which I marked "YES" above and have read and agree to the policies and disclaimer of liability.
	I have printed (or saved) this form as a backup.

 

Thank you!
The SupporTED Team

• TED Fellows
• TED Fellows FAQ
• SupporTED Coaches
• SupporTED Coaches FAQ
• The SupporTED Coaching Heroes