Help Network Business & Personal Coaching

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Registration Form

Email *

Program Choice

Personal Development Coaching

Business Development Coaching

Become a Life Coach

Empower 5000 women Personal Coaching

Empower 5000 women Business Coaching

English Language

Computer Classes

Title

Mr.

Mrs.

Ms.

Dr.

Sir

Pastor

Other:

Relationship Status

Married

In a relationship

Single

Divorced

Widowed

Name

Birthplace Address

Current Address

Mobile Number

Home Number

Work Number

Sex

Male

Female

Describe your business

At the idea stage

Registered

Already established and operating

Closed

Employment Status

Unemployed

Underemployed

Part time employee

Full time employee

Self employed

Clear selection

How soon can you begin your coaching program?

In a week

In a month

Right away

Business Name

Products Summary

Services Summary

Business Type

Sole Trader

Partnership

Charity

NGO

Limited Liability Company

Other:

I agree to the terms and conditions of Help Network and I have agreed to

Free first consultation

Free initial business assessment for Business Coaching

Choose a payment plan where applicable

Set a time to begin and complete the coaching

To help others by telling them about Help Network

To celebrate my personal/business achievement and milestones

To be resilient & consistent in the face of challenges

To give back time or donations to Empower 5000 women charity program

To recommend the program to at least three others

To do a testimonial of my experience with the program for Help Network

Thank you for choosing Help Network Personal & Business Coaching. We look forward with excitement to meeting with you to help you to grow and maximize your personal and business potential. We thank God for connecting us to implement plans and strategies to maximise your purpose, power and potential. Jeremiah 29:11.

A copy of your responses will be emailed to the address you provided.

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