UCA Fellow Member (FMUCA) - Nomination Form

UCA Fellow Member (FMUCA) - Nomination Form

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1️⃣Nominator Details

This section captures details of the Nominator for UCA Fellow Membership.
Name*

First NameLast Name
Email*

Confirmation EmailPlease use the email address we have on file for you
Phone Number*

Country CodeArea CodePhone Number
Organisation
Your Relationship to the Nominee
If 'Other' please specify
Length of Professional Relationship

2️⃣ Nominee Details

This section captures details of the Nominee for UCA Fellow Membership.
Name

First NameLast Name
Email*

Confirmation EmailPlease use the email address we have on file for you
Phone Number*

Country CodeArea CodePhone Number
Country of Practice
UCA Membership Status
If you cannot confirm that the above statements are true, please e-mail membership@universalcoachingalliance.org before submitting your application.

3️⃣ Eligibility Confirmation

This section invites you to consider your Nominee's eligibility to apply for UCA Fellow Member.
Does the nominee have a minimum of 10+ years' coaching practice or equivalent professional contribution?*

YesNo
Your Nominee does not meet the typical requirements to apply for UCA Fellow Membership.

If you wish to continue the application, please e-mail membership@universalcoachingalliance.org before proceeding further.
Does the nominee currently practice as a Coach, Coach Supervisor, Mentor, or Senior Professional in the coaching field?*

YesNo

4️⃣Areas of Contribution

In this section your are invited to shar the areas in which your Nominee has contributed to the coaching profession.
Please indicate the areas where the nominee has made significant contribution to the coaching profession (please select all that apply):*

Leadership (senior roles in organisations, professional bodies, or coaching networks)CoachingSupervisionMentorshipEducation and TrainingResearch and PublicationCommunity ServiceInnovation in Coaching Practice

5️⃣Nomination Rationale

This section helps us understand why you have chosen to nominate this individual for UCA Fellow Membership.
Why are you nominating this person for UCA Fellow Membership?
Please explain why you believe this individual meets the standards of UCA Fellowship. Your response should consider their professional integrity, leadership, contribution to the coaching profession, and long-term impact. Where possible, include specific examples that demonstrate their influence, reputation, and the respect they hold within the professional community. This nomination should reflect both their professional excellence and their personal values.
Please describe the nominee’s impact on the coaching profession
Please describe how this individual has influenced the coaching profession more broadly. This may include their contribution to professional standards, leadership within coaching communities or organisations, development of new approaches or models, thought leadership, research, publications, or their role in shaping ethical and professional practice. Where possible, include examples that demonstrate reach, influence, and long-term impact.
Please describe their contribution to others (coaches, organisations, communities)
Please outline how this individual has supported the development of others. This may include mentoring, supervision, teaching, leadership development, community initiatives, voluntary service, capacity building, or contribution to the growth and professionalism of individuals, teams, organisations, or communities. Where relevant, include examples that demonstrate care, integrity, and positive outcomes.

6️⃣Supporting Evidence

This section gives you the opportunity to provide evidence of your Nominee's contributions to the coaching profession.
Please provide links or references to supporting evidence (optional):
You can include the following: Websites, publications, profiles, research, programmes, initiatives, projects
Upload supporting documents (if applicable)

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7️⃣Declarations

This section allows you to confirm the accuracy of the information provided and your agreement to the ethical and professional standards of the Universal Coaching Alliance.
I confirm that the information provided is accurate to the best of my knowledge and is submitted in good faith for consideration by the Universal Coaching Alliance.*

YesNo
I consent to the Universal Coaching Alliance processing this information for the purpose of Fellowship nomination and assessment in line with data protection regulations.*

YesNo
Please sign to confirm that the information provided here is true, correct, and complete to the best of your knowledge.

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UCA Fellow Member (FMUCA) - Nomination Form

1️⃣Nominator Details

2️⃣ Nominee Details

3️⃣ Eligibility Confirmation

4️⃣Areas of Contribution

5️⃣Nomination Rationale

6️⃣Supporting Evidence

7️⃣Declarations