Application to join Coaching Agility from Within: A Cohort Journey to Masterful Agile Team Coaching

Application to join Coaching Agility from Within: A Cohort Journey to Masterful Agile Team Coaching
This is fantastic! You are continuing your learning journey and we are thrilled you want to accomplish it with the Cohort.
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Phone Number*
Today's Date*

MonthDayYear
Date
Required Pre-Requisite Courses
There are a couple of required pre-requisite courses. If you have not completed these yet, that's okay. Just put 'still needed' in the box(es) below and check 'undecided' under commitment below and we can talk with you about options for completing the requirements.
ICP: ICAgile Certified Professional: Provide the name of the Member Training Organization and the date you received it.
Date

MonthDayYear
Date
ICP-ATF: ICAgile Certified Professional in Agile Team Facilitation Certification: Provide the name of the Member Training Organization and the date you received it. *
Date

MonthDayYear
Date
ICP-ACC: ICAgile Certified Professional in Agile Coaching Certification: Provide the name of the Member Training Organization and the date you received it.*
Date

MonthDayYear
Date
EXPERIENCE
How many years have you been actively practicing coaching agile teams?
How many agile teams have you coached?
What do you hope to get out of this program?
COMMITMENT
We anticipate this program will require an average commitment of 6 hours per week working on the various elements of the program (Weekly Calls, Journaling, Individual Coaching, Individual Mentoring, Team Coaching, Facilitation, Training). Some weeks may be more or less. Are you ready to make this type of commitment for 8 months, to yourself and to your own leadership growth?

Yes! I'm committed!Yes, and I have some concerns or questions that I would like to talk through first.Undecided, I need more information or would like to schedule a call with a course leader.No, I can't make this commitment at this moment, but I would like to be put on the waitlist for the next cohort.
Preferred Payment Method
If you are accepted into the program, you will have the option of paying all at once or making a deposit and paying monthly via automated credit card payment. What's your preferred option?

One time payment of $7,100 (USD)Deposit of $1,900, followed by 7 monthly payments of $845 (USD)
How did you hear about us?"
space available for 100 characters
Thank you for your interest in the cohort! You can expect to hear from us within 10 days.
Should be Empty:

Application to join Coaching Agility from Within: A Cohort Journey to Masterful Agile Team Coaching

This is fantastic! You are continuing your learning journey and we are thrilled you want to accomplish it with the Cohort.