Thank your for your interest in participating as a coach in the Utah Coaching and Advancement Nextwork (UCAN). Please complete this survey regarding your interest, skills, experience, and ideas related to building a coaching network. The International Coaching Federation (ICF; https://coachfederation.org/) defines coaching as partnering with clients in a thought-provoking and creative process that inspires them to maximize their personal and professional potential. A number of coaching focuses are recognized, including: Professional Identity Development: focus is selfassessment, goal-setting, growth, and personal development generally. Professional Skills: focus is helping the individual accurately reflect on their performance and needs for growth, and gain insight into desired outcomes. Skills areas can span a broad range, including Education/Teaching, Clinical practice, Investigation, Dissemination, and Scholarship. Career Advancement: focus is self assessment, goal setting, and skills acquisition aimed to prepare an individual for promotion or leadership opportunities. Team and Interpersonal: focus is on developing management skills, such as human resources, team dynamics, and communication. Leadership Development: focus is on developing leadership skills in preparation for a leadership role. Business & Executive Development: focus is on facilitating successful unit leadership for an individual with an executive role and providing guidance for specific challenges in the role. Wellness and Resilience: focus is fostering wellness behaviors, work-life integration, and development of resilience. Team Effectiveness: focus is on coaching teams or groups with goal of increased effectiveness. First Name: * Last Name: * UNID (e.g. 00123456): * Email: * Primary Department: * Faculty Rank: * - Select -Assistant ProfessorAssociate ProfessorProfessor Faculty Track: * - Select -Tenure-lineCareer-lineAdjunctVisiting Coaching Experience (select all that apply): None Mentoring within UofU Mentoring outside UofU Informal coaching within UofU Informal coaching outside UofU Formal coaching within UofU Formal coaching outside UofU Certified coach through Internal Coach Federation (ICF) Certified Coach through another organization Other training If you are a coach in a formal coaching or mentoring program, what program are you currently participating in? : Areas in which you are interested in coaching others (select all that apply): Professional Identity Development Professional Skills Career Advancement Team and Interpersonal Leadership Development Business and Executive Development Wellness and Resilience Team Effectiveness Other Category of Individual you are interested in coaching (select all that apply): Undergraduate students Graduate students (Masters, PhD) Professional students (MD, PA, NP, PharmD, DDS, PT, OT, etc) Residents (clinical) Fellows (clinical) Post-docs (PhD) Early career faculty Mid-career faculty Senior faculty Staff Other How much time would you like to spend coaching in your professional role?: * Please share your ideas about coaching programs you would like to explore further.: * Please share your ideas about building community among coaches and potential coaches over the next few months, given the current COVID-19 pandemic.: * Please leave any additional information that you would like us to know in the space provided below: Leave this field blank Contact Us Allie Groves Program Coordinator Email: Allison.Groves@hsc.utah.edu Follow Us @UHealthEdu