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* Name
   
 
 
 
I am interested in continuing with Pivot Learning Partners next year.
 
Yes
 
No

 
 
 
If yes, the types of coaching assignments I am most interested in would be as follows:
 
 
I feel I am best suited for the coach type of:
 
 
I would also be willing to take on the work of:
 
 
 
 
 
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