The Rackhouse Way Coaching Certification Intake Form
Please complete the full form.
Coach Name
First Name
Last Name
Phone Number
Email Address
example@example.com
Client's Address or Company Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
-
Month
-
Day
Year
Date
Occupation
Company Name
Business related questions
Why would you like to become a writing coach?
Do you currently own a business?
Yes
No
What services are you currently providing?
What are your favorite parts of your business? Please list them below.
What are your motivations in doing or starting this business?
Please share the biggest success of your business
Please share the challenges and obstacle your business is currently facing
Kindly share how did you manage this challenge or how did you fixed it?
What is your 6 month goal after becoming a certified writing coach?
How do you differ from your competitors?
How do you gain clients? How do you generate leads?
What are your marketing and advertising strategies?
How do you support your customers?
What is your process in refund, repair, and warranty services?
Signature
Clear
Date Signed
-
Month
-
Day
Year
Date
Payment
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Paid in full
Full payment for certification program. *non-refundable
$
850.00
Coaching Certification 50% Deposit
Deposit to get started with coaching certification program. *non-refundable
$
425.00
Payment Plan Option 1
Payment plan 1st payment to get started. Remaining balance $500 to be divided into 3 equal payments of $250. Must be paid in full prior to completing program. *non-refundable *non-refundable
$
350.00
Payment plan option 2
Payment plan 1st payment to get started. Remaining balance $600 to be divided into 3 equal payments of $200. Must be paid in full prior to completing program. *non-refundable
$
250.00
Credit Card
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