Level 1 Final Completion Confirmation

Level 1 Final Completion Confirmation

Submit this form with your Performance Evaluation Recording and Transcript.
Name

First NameLast Name
Email
example@example.com
Today's Date*

MonthDayYear
What Was Your Graduating Cohort (Month/Year)
Please indicate completion of and compliance with each ICF Level 1 certification requirement below.

Candidate Submission for Final Level 1 Certificate

Rows	Complete
I have completed my 10 hours of Mentor Coaching, including 3 hours one-on-one. My Mentor Coaching Log is included below.
I have listened to and personally evaluated my recording and believe it meets the ACC performance standards.
I have written permission from my client for this recording to be used in my credentialing process.
I have carefully reviewed and edited the transcript to ensure accuracy.
Positive Coaching Solutions has my permission to share this recording and transcript with its ICF Certified Assessor(s).
I understand that if the evaluation is borderline, additional assessor(s) may need to complete "tie-breaking" evaluation(s).

Mentor Coaching Hours – Instructions
If you worked with the same mentor coach over a period of time, you do not need to list each session date on different lines. Instead, please list only the start date, end date, and the total number of hours you completed with that coach—all on one line. Group sessions still have to be listed separately from individual sessions.

Please confirm your INDIVIDUAL mentor coaching hours. Positive Coach may confirm this information with the Mentor Coach(s).
INDIVIDUAL Mentor Coach - 1*
INDIVIDUAL Mentor Coach - 2
INDIVIDUAL Mentor Coach - 3
Please confirm your GROUP mentor coaching hours. Positive Coach may confirm this information with the Mentor Coach(s).
GROUP Mentor Coach - 1*
GROUP Mentor Coach - 2
GROUP Mentor Coach - 3
Please insert a LINK to your client recording here. Please make sure we have access.
PLEASE make sure FILE PERMISSIONS are set to "anyone with the link can access."
Upload your session transcipt. Make sure the settings allow us to access the file.

Your transcript should be in Word format and verified or edited for accuracy.
Cancelof
Once your submit this form, we will proceed to have your recording evaluated by one of our Certified Assessors.

While our target turnaround is two weeks, it could take longer depending on the initial evaluation results. If the initial evaluation is very close to the line, we will have a second assessor complete an evaluation. If they are different, a third assessor will be engaged.

We will make sure we are being fair to you and and also in compliance with ICF standards and requirements. Please be patient with us.
Should be Empty:

Level 1 Final Completion Confirmation

Please confirm your GROUP mentor coaching hours. Positive Coach may confirm this information with the Mentor Coach(s).

Once your submit this form, we will proceed to have your recording evaluated by one of our Certified Assessors.

While our target turnaround is two weeks, it could take longer depending on the initial evaluation results. If the initial evaluation is very close to the line, we will have a second assessor complete an evaluation. If they are different, a third assessor will be engaged.

We will make sure we are being fair to you and and also in compliance with ICF standards and requirements. Please be patient with us.