Student Application and Training Agreement

Student Application Form
Contact Information
Name*

First NameLast Name
Best Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Personal Information*
Business Information
*We typically use Personal Phone Numbers and Personal Email Addresses because they are more likely to survive job changes in the future. If you prefer for us to use your Business Phone Number or Business Email Address, or both, please let us know (studentsupport@positivecoach.com).
https://www.linkedin.com/in/Type a label
Preferred Name (First & Last) on NAME TAGS and NAME TENTS
How do you want to be addressed during the class?
Preferred Name on CERTIFICATE(S) Issued
We do not include other credentials (e.g., MD, PhD)
Business Information
Company
Position
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Coach Credentialing
YesNo
ICF's ACCICF's PCCCCE's BCCEuropean EMCCWABC CBCOther
YesNoNot Sure
ACCPCCMCCNot Sure
YesNoNot Sure
Previous Coach Training and Academic History
YesNoMaybe?
If yes, about how many hours have you completed?
What program(s)?
Briefly describe your coaching experience to date:
Vocational Degree or CertificateAssociate's DegreeBachelor's DegreeMaster's DegreePhD or Other Post GraduateOther
Please indicate what field(s) your degree is in.
Coach Certification Training Objectives
What do you hope to get from this program?*
Full-time coachCoaching within my corporate job responsibilities (manager, HR, etc)Part-time coachSocial work, therapy, or other counseling activitiesIncorporate into my existing consulting, recruiting, outplacement, training, or other current businessIncorporate into my leadership skillsOther
What coaching specialty or niche do you want to focus on, if any?
What was the top reason(s) you chose Positive Coaching's program?*
How did you hear about our program?*
If someone referred you, we want to thank them.
If you can, please provide the address of the person that referred you:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Personal interest or hobbies
Participant Coach Training Agreement

We strive to operate our business and programs with the highest level of ethics and quality. According, we ask all participants to review this Training Agreement (click on link below) and indicate by your signature that you understand our policies and expectations and will comply with these in all aspects of your engagement with Positive Coaching. You can also download a copy of the Training Agreement for your files.
Consent to Receive Communications from ICF*
Signature*

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I promise that the information provided in this Application is complete and accurate. I agree to fully participate in the program and abide by the standards, policies and procedures of Positive Coaching Solutions.
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Student Application Form

Contact Information

Business Information

Coach Credentialing

Previous Coach Training and Academic History

Coach Certification Training Objectives

Participant Coach Training Agreement