Champion Influence® Coaching Certification Program Application
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Who referred you to the program? I no one referred you type N/A.
TWO FORMAT OPTIONS: The 4 day Intensive Classroom Learning Course requires you to be in person and present for the full program. Are you able to attend all the scheduled sessions for the location with which you are interested? Thursday (1:30pm-9pm) Friday (10am-9pm); Saturday (10am-9pm) and Sunday (10am-2pm)? NEXT, the 4-week Distance Learning Course is an online/virtual course that you must complete and pass within the required time-frame. Below are options for the next courses. Pick one format. By checking the box you are confirming yes for your availability. *
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Name: *
Address, City, State, Zip *
Cell Phone Number *
What's your gender? *
Men's T-Shirt Size
Social Media Handles *
Are you already "professionally" coaching clients? *
Please share no more than 250 words about your professional background and experiences. *
How do you want to use or enhance yourself and/or business with the coaching certification. *
Once you are certified, how do you plan to grow your business, yourself and become an asset to the coaching team? *
How confident are you as a public speaker? *
Help Me
Very Confident
How effective are you in facilitation of meetings, seminars, workshops and training? *
Help Me
Very Effective
How knowledgeable are you about the coaching profession? *
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Very Knowledgeable
The investment in the 4-day intensive CLASSROOM LEARNING coaching certification is $1999 if paid in full. Should you need a payment plan the cost of the total program increases to $2100. For the payment plan, a retainer of $700 secures your seat. After you submit your retainer, you will be required to make 2 monthly payments of $700. Your entire balance must be completed 20 days prior to the start of the program. NEXT, The investment in the 4-week DISTANCE LEARNING coaching certification is $999 paid in full.  Should you need a payment plan for the distance program, the cost of the total program increases to $1100. For the distance program payment plan, a retainer of $366.66 secures your seat. After you submit your retainer, you will be required to make 2 monthly payment of $366.66. Your entire balance must be completed 20 days prior to the start of the program.  ADDITIONALLY, I understand that I will receive my official certification after I have completed my 60 hours of coaching with 10 of the hours being supervised. I understand that supervision is an additional $300 with payment plans being available. *
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Registration can be made by going to the website: www.thecoachingseat.com *
Are you ready to join the team of Champions? *
If you haven't already done so, watch the Champion Influence® Coach Certification Informational. Copy and paste this link into your browser: https://vimeo.com/367164991 *
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