Application Form to Join Agile Coaching Mastery Cohort

Dear Applicant, Thank you for considering our game-changing Systemic Team Coaching Mastery program! We look forward to receiving your application and meeting with you.
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Please enter a valid phone number.
Residence Location
State / Province*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Program Eligibility Requirements

Our Systemic Team Coaching Mastery Program is competency-based and strictly for existing Team and Enterprise Coaches
Number of years have you been coaching teams?*
This program has 2 pre-requisite courses to be eligible to apply for ICE-AC (Expert in Agile Coaching)

If you are yet to complete these 2 foundational courses, you will be required to complete them before the start of the cohort. Please mention “Yet to Complete” in the space for the Provider Name.
1. ICP-ATF Certification Provider and Date Received
Provider Name*
Month*
Ex: January
Year*
Ex : 1990
2. ICP-ACC Certification Provider and Date Received
Provider Name*
Month*
Ex: January
Year*
Ex : 1990
Time & Attendance Commitment

Our in-depth program will require an average commitment of 5 to 6 hours per week to meet rigorous program requirements (Weekly Cohort Calls, Skill Labs, Small Group Practice for Coaching, Mentoring, Facilitation, Training and Systemic Team Coaching.
Are you able to make this time commitment during the 10-month cohort program?*

Yes! I am 100% committedUndecided! I need additional information to make an informed decisionNo! Add me to the waitlist for future cohorts
Program Investment

25th Anniversary Celebration Price: USD 6249 (Regular Price: USD 7249)
Interview

Program applicants that meet the required certification and experience criteria will be interviewed by one or more of the program leaders. We do this to ensure that applicants fully understand the program's requirements and expectations, plus we can answer any lingering questions that you may have.
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Dear Applicant, Thank you for considering our game-changing Systemic Team Coaching Mastery program! We look forward to receiving your application and meeting with you.

Residence Location

Program Eligibility Requirements

This program has 2 pre-requisite courses to be eligible to apply for ICE-AC (Expert in Agile Coaching)

1. ICP-ATF Certification Provider and Date Received

2. ICP-ACC Certification Provider and Date Received

Time & Attendance Commitment

Program Investment

Interview