Self Coaching Project
Coaching Application
Name
First Name
Last Name
Email
example@example.com
Phone Number
Time Zone & Location
Social Profile Handle #1
Social Profile Handle #2
Age
18-25
25-40
40-55
55+
Where did you hear of the Self Coaching Project?
Personal Reference
Facebook
Twitter
Instagram
Professional Group
Call/Email From Our Team
Have you previously participated in a mindset or coaching program? If so, please share what you have engaged in and what your experience was.
Please describe your professional role and responsibilities. How would you describe your current professional experience.
Entrepreneur, CEO, Employee, etc? Roles and responsibilities? How do you feel in your role currently?
What drew you to engage with the Self Coaching Project? Why do you want to be considered for our coaching program?
What are your primary personal or professional pain points that you would like to bring to the table? What are you wanting to focus on addressing?
What would be your ideal outcome from this coaching program?
Please describe the level of importance and necessity you feel in solving these problems and achieve your desired outcome.
Are you looking to incrementally improve a particular area or are you feeling a need for a more transformational shift?
We have multiple coaching options available. Please describe what level of engagement and time allotment you are interested in and able to commit to.
Please record a 3-5 minute video providing a personal biographical overview. Our aim is to get a personalized picture of who you are.
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