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*

First Name of Applicant*

Last Name of Applicant*

Email Address of Applicant*

Role of Applicant*

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.*

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.