Excel Executive Coaching
Please only fill out this application if you know this program is for you and you’re 100% ready to commit your time and resources. If we believe you an excellent fit for this coaching program, we will then send you a calendar link to book time with Executive Coach Phyllis Reagin.
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Email *
Name *
First and last name
Job Title & Responsibilities *
Phone number *
Linkedin *
Should we like to speak with you, are you available for a Zoom or phone consultation  regarding this application? *
What are your main reasons for wanting Executive Coaching? *
Have you ever received Leadership/Executive/Life/Health Coaching?  *
What attributes would you ideally want in your Executive Coach? *
Are ready to invest $5,000 (cost of program) in your development? *
If you are not ready to invest $5,000 what is preventing you? *
Can you commit to one-hour per week for coaching? *
As we consider your application, do you have any other comments for our evaluations team? *
A copy of your responses will be emailed to the address you provided.
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