Application to Become Certified as an Agent of Authenticity

Agent of Authenticity Application

Thank you for your application.

Please complete prior to your appointment.

If you have not scheduled your appointment here www.MeetwithNorma.com .

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* 1. Please enter your contact information below: w 0

Name *

City/Town

State/Province

ZIP/Postal Code

Email Address *

Phone Number *

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* 2. What is your greatest passion? Why? w 0

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* 3. What is your speaking/coaching/training background? w 0

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* 4. What is your Brand/Identity/Platform? w 0

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* 5. What is your current work? w 0

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* 6. What are your professional and personal goals? w 0

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* 7. What are your obstacles? w 0

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* 8. What's your "WHY"? w 0

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* 9. What certification(s) are you interested in? w 0

Coach - Use the Authenticity Grid and Inventories in your coaching practice.

Speaker - Speak on one or more dimensions of the Authenticity Grid.

Facilitator - Give live events in your community using the Authenticity Grid and/or Authenticity Assessment.

Trainer - Train others as a coach, speaker or facilitator.

Question Title

* 1. Please enter your contact information below: w 0

Question Title

* 2. What is your greatest passion? Why? w 0

Question Title

* 3. What is your speaking/coaching/training background? w 0

Question Title

* 4. What is your Brand/Identity/Platform? w 0

Question Title

* 5. What is your current work? w 0

Question Title

* 6. What are your professional and personal goals? w 0

Question Title

* 7. What are your obstacles? w 0

Question Title

* 8. What's your "WHY"? w 0

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* 9. What certification(s) are you interested in? w 0

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* 10. Comments or questions? w 0