TLG The Education Charity

Please provide the following details. Once complete the applicant will be emailed an online EI coach application form and the coordinator will be informed that a referral has been made. Make sure that you read and confirm the three check boxes before submission.

Name of Referrer*

Role of Referrer*

Name of Coordinator*

Email Address of Coordinator*

If this coach is with a new church partner which is not on the list yet, please select .New Partner Church.*

First Name of Applicant*

Last Name of Applicant*

Email Address of Applicant*

Role of Applicant*

Is this a person a member of the church that has an Early Intervention Partnership with TLG?

If no, then please ensure that the referral is done by this applicant's current Church Leader.

Are you a Church Leader of the applicants current church?

I can confirm that I have talked to the applicant about this role and they are happy for me to pass on their name and email address in order to receive an application.*

I can confirm that I have read the relevant Becoming a coach/coordinator documents.*

Becoming a Coach
Becoming a Coordinator

I can confirm that I have known this person for at least 6 months and I am confident in recommending this person to be a coach and feel they meet the requirements of the role.*

If the applicant is not a member of the church that has the Early Intervention Partnership with TLG, please ensure that the applicants Church Leader completes their referral form. You will not be able to submit this form otherwise.

REFER AN EI VOLUNTEER

An Early Intervention Coordinator/Deputy Coordinator must be referred by the church leader. An Early Intervention Coach must be referred by the church leader or an Early Intervention Coordinator who has known them for at least 6 months.