ICF & BCC Accredited Performance Coach Certification Training Application Question Title * 1. Personal Info (this will be for our internal use only) Name: Country: Phone Number: Next Question Title * 2. What is your Skype handle or Whatsapp ID? Next Question Title * 3. What is your email? Next Question Title * 4. What is your gender? Female Male Prefer not to say Next Question Title * 5. What is your age? Under 18 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older Next Question Title * 6. What is your current Profession? Entrepreneur Manager C-Level (CEO/CFO/COO) Employee Network Marketer Internet Marketer Coach Speaker Author Service Provider Other (please specify) Next Question Title * 7. What is your PRIMARY focus in life? Business/Career Health/Energy/Wellness/Fitness Relationships/Self/Love/Communication God/Spirituality/Faith Finances/Abundance Fulfillment/Emotions Other (please specify) Next Question Title * 8. What is your approximate current income? $0-$24,999 $25,000-$49,999 $50,000-$100,000 $100,000-$200,000 $200,000-$500,000 $1,000,000+ Next Question Title * 9. How did you hear about Performance Coach University? Facebook Live Facebook Ad Webinar Online Ad Instagram Ad Friend/Colleague Google Other (please specify) Next Question Title * 10. How much experience do you current have in the field of Performance Coaching? NO EXPERIENCE AVERAGE EXPERIENCE Performance Coach Expert NO EXPERIENCE AVERAGE EXPERIENCE Performance Coach Expert Next Question Title * 11. What other courses have you taken on the topic? Next Question Title * 12. What positive difference are you committed to making (in your business, community or clients lives) with the tools you learn from Performance Coach University? Next Question Title * 13. Why is it an ABSOLUTE MUST for you to make this positive difference happen? Next Question Title * 14. What are your top three goals you would like to achieve with a Performance Coaching Certification course? Next Question Title * 15. What will achieving these three goals do for your life & business? Next Question Title * 16. Why is it an ABSOLUTE MUST that you achieve these goals? Next Question Title * 17. What are the top 3 biggest challenges you face in achieving the goals mentioned above? Next Question Title * 18. Where else in life do these challenges affect you? Next Question Title * 19. How do you FEEL as a result of these challenges? Next Question Title * 20. How would life change if you were able to remove those obstacles and experience the RESULTS that you desire and deserve? Next Question Title * 21. On a scale from 1-10 how important and urgent is it for you to get certified as a coach NOW? 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 Next Question Title * 22. Do you feel that with your current income you have the ability to invest in a Performance Coaching Certification program that will help you to achieve the RESULTS you desire most? (We ask this to better understand your mindset -- based on where people are at in life.. does their amount of income determine the mindset they have towards investing in themselves/their personal growth) YES NO Unsure Next Question Title * 23. On a scale from 1-10 how excited are you to get certified as a Performance Coach?? Not excited at all :( 2 3 4 Kinda Excited 6 7 8 9 I CANNOT WAIT!! LETS GET STARTED! Not excited at all :( 2 3 4 Kinda Excited 6 7 8 9 I CANNOT WAIT!! LETS GET STARTED! Next Question Title * 24. Who should we thank for the referral? Next Question Title * 25. Are you ready to invest or just looking for more information? Ready to enroll today Looking for more information Other (please specify) Next Question Title * 26. What is your favorite color? Next Thank you! We are thrilled that you took the time to complete this application and are proud of you for taking the first step on a very rewarding journey as a CERTIFIED PERFORMANCE COACH! To your success!Jairek Robbins & Team PCUStep 2 is to select a time that works best to review your application with our admissions team. Next SUBMIT!