Strengths Coaching Registration Form

First Name:

Last Name:

Your Pronouns:

UNCW email address (please include @uncw.edu):

Intended or declared major:

Classification:

required

First-Year/Freshman

Sophomore

Junior

Senior

Graduate

What has been your experience with CliftonStrengths so far? Please select all that apply:

required

I took Strengths and/or participated in a workshop(s) through class.

I took Strengths and/or participated in a workshop with an organization.

I've taken Strengths but not participated in a workshop.

I've participated in one on one Strengths Coaching in the past.

I have not participated in anything related to Strengths.

If you have taken Strengths, what are your top five Strengths? Please list in rank order if you know them.

If you have taken Strengths, when did you receive your results?

required

Within the last year

Over a year ago

More than two years ago

I have not taken Strengths

How did you find out about Strengths Coaching? Please select all that apply.

required

UNCW Website

Social Media

Instructor/Professor/Advisor

Peer/Friend

Strengths Workshop

Referred by a campus resource, please list that resource below: Write-In Answer

Why are you interested in Strengths Coaching? What are you hoping to gain from Strengths Coaching?

Please list two specific goals you have that you would like to utilize Strengths Coaching to meet.

We can facilitate individual Strengths Coach in person, or virtually via Zoom. Which would be your preference?

required

In-Person (at UNCW's campus - location determined by you and your Coach)

Virtual via Zoom (Zoom details provided by Coach)

No Preference