Coaching - Mindmap/W3

Fill out the Mindmap/W3 Form below and submit it to ConnectUs. We will forward your detailed analysis to you within a week!

What do I like to do?

What am I good at?

What are my strengths?

What are my weaknesses?

What are my hobbies/interests?

What associations do I belong to?

Who do I know?

What special skills do I have?

Am I a volunteer? Where?

Charity - do I have a favourite?

What's my wildest dream? If money, talent, time didn't count - what would I like to do?

What is the W3?
Who am I?
What do I need?
What am I willing to share

Who am I? I am

What do I need? I need

What am I willing to share? I am willing to share

First Name:

Last Name:

Company:

Position

City:

Postal/Zip Code:

Country:

Phone:

Fax:

Business type:

Information by:

If you prefer, you may fax this application to ConnectUs International Inc. at (905)337-9320 or phone us at
(905)337-9578.