Coaching Cohort Registration Form 2026

Coaching Cohort Registration Form

Spring 2025
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Each cohort consists of four classes (5 weeks each). We meet every three months.
Completion of the program comes with 9 credits toward a Master's Degree at Southeastern University in Lakeland, FL.
Please provide any information you want us to know or any questions you may have.
Please add me to the PCU email list
What is your current preferred method of payment?
Have questions, or want to learn more? Feel free to make an appointment with Michael Smith:

Zoom Appointment Link

Phone Appointment Link
Should be Empty: