CMI Coaching Certification Application

1
How’d you hear about our coaching program? Check all that apply?
Facebook
Instagram
Linknd
Attended a Workshop
Podcast
Website / Blog / Email
Personal Referral
Other
2
Name
First Name
Last Name
3
Your Best Email
example@example.com
4
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
Cell Phone Number
Area Code
Phone Number
6
How long have you desired to launch your Coaching Business?
Less than a month
About 3 months
Between 3 months and 1 year
More than 1 year
7
Have you taken courses or certifications in coaching before? If yes please share where?If not please type NO
8
Share with us why you would like to join the Coaching Certification Program?
Huge
Large
Normal
Small
Ok
Ok
9
How soon would you like to book your first/next coaching client (online, group, mastermind, 1-on-1)
Within the week
In a Month
After 2 Months
10
What is your coaching niche?The category you think you will coach in
Entrepreneurial
Finance
Health & Fitness
Life / Success
Real Estate
Other
11
How much $$ would you like to make within the next 3 months through coaching?
less than $4,999
$20,000 - $29,000
$5000-$10,000
$30,000 or more
12
Do you already have an email list or database of followers?Via email, facebook, instagram, or other social media?
YESNO
13
Do you have any of the following?Check all that apply.
Published Book
Podcast
Private FB Group
Blog
Online course
Paid Speaking Engagements
None
Other
14
Web address: (If you have one)
15
Instagram acct: (If you have one)
16
Which of these worry you most about starting this coaching certification?
Ability to gain clients
Time management
Marketing your business
Tech involved
17
Are you willing to invest time and money into becoming the best version of yourself?
YESNO
18
Coaching InvestmentChoose which payment option you’d like for your coaching. Click the (+) to add the payment amount.
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ORDER SUMMARY
Total costUSD
CMI Certification Full Payment (Includes all modules and Bonus)
$1,350.00Edit
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CMI Certfication 2 Payments (Dripped Modules and Bonus)
$750.00Edit
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CMI Certification DEPOSIT
$350.00Edit
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CMI Alternate Payment Amount (MUST BE PREAPPROVED)
$FreeEdit
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Total cost $0.00
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