CareerFit Life Coaching Program - APPLICATION
THANK YOU for joining the CareerFit Life Coaching Program.

All information received on this form will be treated as strictly confidential.

I am delighted that you are joining us and I look forward to speaking with you soon! - Beth
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Email *
Name *
Address *
Phone - Cell *
Phone - Other
Have you ever tried coaching? If no - why not? If yes, what did you get out of it? *
When it comes to your professional and personal wellbeing, what are your biggest struggles or frustrations?  Please be specific and provide as much detail as possible. *
How are these problems affecting you? *
What is your ideal solution? *
What are you ultimately hoping to achieve by being a Member of the CareerFit Life Coaching Program?
Are you open to giving and receiving support to/from fellow program participants? *We use the principles of a MasterMind to tap into the combined energy and knowledge of our group. *
Would you like to be added to my email newsletter full of tips, promotions, special offers and more? *
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