CMI Life & Leadership Coach Training 2013

“Impacting Nations by Upholding Leaders”

Application – Complete, save and send as email attachment to:

What you Need to Do: To apply for the Life & Leadership Coach Training 2013 provided through Coaching Mission International (CMI), please fill out the following information, then attach and send it by email to the LLCT2013 Registrar at: . The information provided will be used to determine eligibility for participation in this program and will only be used for screening and administrative purposes.

What to Expect: After submission and receipt of the $50 non-refundable application fee, we will send you a confirmation email. Your references will be contacted. A phone or Skype interview will be arranged shortly thereafter. Upon acceptance, we will send you an “Acceptance Letter” by email with all the information you need to be ready to go for the Training Orientation in July. We aim to complete the screening process within two weeks of receiving your application and fee. We look forward to serving you and the nations together!

Instructions: Click in the top left area of each entry field area, then begin typing.

Application Deadline: 30 June 2013*

Program Orientation: 9 July 2013

Module 1 – Teleclass 1: 20 August 2013

[* - Late applications may be accepted until 31 July, but program openings cannot be guaranteed.]

Contact Info:
First Name:
Last Name:
Street Address or PO Box:
City:
State/Province:
Zip or PIN code:
Country:
Residence: (City, State and Country – if different)
Telephone – Landline:
Telephone – Cell:
Skype ID:
Preferred Email:
Personal Info:
Marital Status
Children: Number and Ages
Age:
Nationality:
Organizational Affiliation:
Organizational Affiliation: (Current)
Titles/Roles within Organization:
How many years with Org.?
Past organizational affiliations:
Coaching:
What is your understanding of coaching? What has been your personal experience with coaching, receiving and/or providing it to others?
Briefly describe why you want life & leadership coach training, and how you see yourself using coaching both in the near- and long-term?
Ministry Experience:
Briefly describe any experience in ministry, including total number of years.
Briefly describe your experience with developing others in their gifts and callings.
Skills:
List Languages spoken in order of fluency. Check those you could use for coaching. / 1.
2.
3.
Check any of these Assessment Tools you have taken and note any related qualifications. / Meyers-Briggs – Are you qualified to administer this assessment? Yes
DiSC - Are you qualified to administer this assessment? Yes
Other: - Are you qualified to administer this assessment? Yes
Counseling Qualifications? / If yes, briefly describe degrees, certifications, and/or experience:
Other relevant skills:
Check all of the following that apply to you:
Checking or not checking any of the following will not automatically qualify or disqualify your acceptance into this program.
I am or have been in full-time ministry.
I have not been in full-time ministry but am or have been significantly involved in providing leadership and/or developmental support to others.
I have a passion for developing, supporting and empowering others.
I am flexible and willing to learn a coaching methodology that listens and asks rather than instructs and advises.
I am able and committed to pay in a timely manner all fees required to participate in this Training Program.
I may need to pay the fees in installments over time, if accepted.
I am reasonably confident I can recruit at least two coaching clients for the ‘hands-on’ coaching part of training.
I am willing to make a ten-month commitment to this training and the amount of time required on a weekly basis.
(See Program Details, downloadable at: LLCT2013.CMIPROGRAMS.COM.
I am able to converse easily in English. (Currently all CMI training is done in English.)
I have access to a reliable internet connection and a Skype ID for teleclasses.
I am committed to grow in application of what I have learned in the CMI Coach Training program, as well as in
all that God has from me in my life and calling.
I am willing to abide by CMI’s Values and Code of Ethics as a Trainee. (See www.coachingmission.com/aboutus.htm)
Confiidential References ~ Please provide full names, emails and telephone contact info for the following:
Pastor, or Organizational Leader / Name / Title:
Email:
Telephone No.
Co-worker / Name / Title:
Email:
Telephone No.:
Nonfamily person who knows you well / Name / Title:
Email:
Telephone No.:
Methods of Application Submission and Fees Payment:
Application & Training Fees: Application and Training Fees may be paid by check or money order drawn on a U.S. bank, or by debit or credit card on the CMI website using PayPal. Check any of the following to indicate your method of Application submission and fee payment:
Submission Method: I am submitting my application by: (Select one)
Email – as an attachment ~ Postal Mail ~ Other: (Describe)
Payment Method: (for $50 non-refundable application fee)
by Personal Check, or Money Order made out to: “Coaching Mission International”, and sent to:
Attn: CMI Accounting/Toby Casteel, 660 Springhill Drive, Hurst, TX 76054 USA
by PayPal Go to LLCT2013.CMIPROGRAMS.COM, and follow the “Fees Payment” instructions.
Training Fees: Training fees will be due upon receipt of an “Acceptance Letter” and should be received by Postal Mail or PayPal (as described above) by 1 June 2013. Further details and options will be in the “Acceptance Letter”.
Material Fees: Books and Materials are to be purchased as described in the “Acceptance Letter”.

I first learned the Mission Coach Training 2013 through: (Check one)

Leader ~ Friend ~ CMI Newsletter ~ CMI Website ~ ChristianCoachingCenter.org ~ Complete Guide to Christian Coach Training ~ SPNet.org ~ Evangelical Training Directory ~ My Organization ~

Other:

I have read and understand to my satisfaction the program, requirements and expectations of the CMI Life & Leadership Coach Training 2013.

Name/signature (If filling out online, TYPE in your full name.) Date (day/month/year)

PLEASE ATTACH PHOTO: (either of you, or of you and your family. This may be sent by email in .jpg format.)

For more info: Visit the CMI website: www.CoachingMission.com

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