Organisation Application Questionnaire Thank you for your interest in our trustee programme, please complete the form below. Organisation DetailsName* Dr.MissMr.Mrs.Ms.Prof.Rev. Title First Last Address* Street Address Address Line 2 City Postcode Point of ContactName* Dr.MissMr.Mrs.Ms.Prof.Rev. Title First Last Role* Email* Phone*GeneralSize of Organisation (Annual Turnover)* Up to £100k £100k – £250k £250k - £500k £500K - £1.5M £1.5M + No. of Board members (including CEO)?*Do you have space to hold team/individual meetings for the purpose of this programme?* Yes No Please select the interventions you are interested in see website for details:* Board Health Check Board Profile Team Coaching 1-2-1 Coaching Workshops for your organisation only Is there anything else we need to be aware of?What are you looking to gain from this intervention?What are your key areas requiring attention?What are your desired outcomes?Are you aware there is a cost associated with this and it will need to be paid prior to sessions?* Yes No Is there anything else we can offer to support you and your team?Please use this space to tell us if there is anything else you would like us to be aware of or if you have any further questionsIf you would like us to hold back sharing everything provided, please let us know in this field.
