Leading Change Application & Agreement

THE EQ MINDSET: LEADING CHANGE PROGRAM APPLICATION

People Biz, Inc. | (512) 989-2230
Thank you for your interest in The EQ Mindset: Leading Change Program! Please allow sufficient time to answer the questions below, review the agreement and hit the "submit" button at the bottom of this page. A copy of your responses and the program agreement will be emailed to you for your records. If you have any questions, please contact our office at 512-989-2230.
Full Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

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CityState / Province

Postal / Zip CodeCountry
STRENGTHS & WEAKNESSES

What do YOU consider your top three leadership strengths?
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What would OTHERS say are your top three leadership strengths?
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What would YOU consider to be your top three leadership weaknesses?
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What would OTHERS say your top three leadership weaknesses are?
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YOUR INTEREST
What is your interest in this program? *
How will you have this program make a difference for others?*
SITUATIONAL EXPERIENCE
Describe a time when you produced results in life and did not have the agreement of others.*
Detail an occasion where you demonstrated well-developed communication skills.*
Give an example from your past of your ability to take correction and use it productively.*
Describe a time when you actively demonstrated communication that contributed to others.*
What has been your experience in being a leader?*
What skills do you use to motivate people?*
What do the others say about how you impact their lives?*
Tell me about your life and what challenges or obstacles you are experiencing.*
What is your definition of integrity?*
TUITION INFORMATION

The tuition for this 5-month, 15-session program, is $995.
AGREEMENT FOR CURRENT COACHING CLIENTS:

As with all of our public training programs, Leading Change is free to our current full-time coaching clients.

If I am participating in this course for free as a full-time coaching client, I understand that if my status changes from full-time coaching client, I will owe the prorated amount for the remainder of the program. Full-time coaching clients are scheduled for three sessions per month with their People Biz coach.

If I am participating in this course as a part-time coaching client, I understand that I will pay half of the tuition owed. Part-time coaching clients are scheduled for sessions every other week with their People Biz coach.
I am applying for this program as a current part-time coaching client.I am applying for this program as a current full-time coaching client.
OPTIONAL ADD-ON

Four coaching sessions for $895.
One-on-one coaching allows you to gain perspective, and integrate what you are learning and how you are developing yourself, which ultimately boosts the results achieved from this program. While you are a participant in this course, you also have the option to purchase three additional one-on-one coaching sessions with Alicia Marie for $895 (regularly $1,125). This offer ends on day of final program session. All participants are eligible for a complimentary coaching session. If you haven’t had a complimentary session with a People Biz coach before, please call our office to get scheduled.*

Yes, I'd like to purchase three coaching sessions.No thank you.
AGREEMENTS FOR THE LEADING CHANGE PROGRAM
I understand that the Leading Change program is co-created. I understand and agree that I am fully responsible for my physical, mental, and emotional well-being during the program. I understand and agree that this is not counseling or therapy.I understand that I am accountable to the group, and not to the Group Leader.I agree to promptly let the group know on the course site Message Board when I have to miss a session. I will be accountable to the group by including when I will listen to the recording and post my take-aways.I agree to complete and upload the group prep-form and completed exercises no later than two business days prior to each session.I understand that there may be times when I do not want to be in the program. I agree to communicate this to the group and work it out.I expect to receive and complete exercises and homework. I agree to plan for this.I give the group and the coach permission to speak freely, and I agree to speak freely. This is necessary for us to develop communication. I agree to keep everything that is said in class confidential and to not repeat anything said to someone outside of class.I agree to keep a Leading Change notebook or file, with all items accessible during each session.I agree to be willingly accountable to the group for my actions and promises made.I am willing to give up victim language and grant permission to the group to call attention to it if I do use this language.I understand that, as in life, there will be times when I am feeling uneasy, apathetic, angry, sad, disappointed, elated, enthusiastic, or full of joy, peace and satisfaction. All of these emotions will likely come up and it is normal when personally growing and developing myself as a leader.I agree to have this program make a difference in the lives of others. I agree to act as a leader on our calls, in my business and in my community. I agree uphold a high level of accountability, leadership and integrity.Even if this program is being paid for by my employer, I am genuinely interested in fully participating in this program. I do not in any way feel pressured by my employer to participate.If this application leads to enrollment in this program, I agree to be a leader on the calls during the entire program, manage my integrity, keep my word, stay in the program for the entire time and courageously give it all back to my family, employees and community.I understand that if I choose to engage in recreational drugs and alcohol, this might limit my potential growth and development.
I agree
INTELLECTUAL PROPERTY ACKNOWLEDGMENT: I understand that any and all information given to me is for my personal use and cannot be used to sell or make public. Items and information cannot be copied, distributed or duplicated, in any way. In line with confidentiality, I agree that I will not keep or save any of the session recordings after the program is over. Note taking is permitted, with the understanding that they are for my own personal use. I am clear that all work product is the property of People Biz, Inc. I understand that I will likely meet other People Biz clients through courses and social media. I agree that I will never try to solicit People Biz clients for coaching, training, consulting or facilitation services. *

I agree
Digital Signature (Please enter your name below)*
PAYMENT INFORMATION

Credit Card NumberExpiration & Billing Zip
Credit card information is required to reserve space into the program.

Refund Policy: Tuition is non-refundable if participant leaves the program after the first month.
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THE EQ MINDSET: LEADING CHANGE PROGRAM APPLICATION

STRENGTHS & WEAKNESSES

YOUR INTEREST

SITUATIONAL EXPERIENCE

TUITION INFORMATION

OPTIONAL ADD-ON

AGREEMENTS FOR THE LEADING CHANGE PROGRAM