ICF & BCC Accredited Performance Coach Certification Training Application

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* 1. Personal Info (this will be for our internal use only)

Name:

Country:

Phone Number:

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* 2. What is your Skype handle or Whatsapp ID?

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* 3. What is your email?

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* 4. What is your gender?

Female

Male

Prefer not to say

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* 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

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* 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)

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* 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)

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* 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+

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* 9. How did you hear about Performance Coach University?

Facebook Live

Facebook Ad

Webinar

Online Ad

Instagram Ad

Friend/Colleague

Google

Other (please specify)

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* 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

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* 11. What other courses have you taken on the topic?

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* 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?

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* 13. Why is it an ABSOLUTE MUST for you to make this positive difference happen?

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* 14. What are your top three goals you would like to achieve with a Performance Coaching Certification course?

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* 15. What will achieving these three goals do for your life & business?

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* 16. Why is it an ABSOLUTE MUST that you achieve these goals?

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* 17. What are the top 3 biggest challenges you face in achieving the goals mentioned above?

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* 18. Where else in life do these challenges affect you?

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* 19. How do you FEEL as a result of these challenges?

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* 20. How would life change if you were able to remove those obstacles and experience the RESULTS that you desire and deserve?

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* 21. On a scale from 1-10 how important and urgent is it for you to get certified as a coach NOW?

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* 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

Unsure

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* 23. On a scale from 1-10 how excited are you to get certified as a Performance Coach??

Not excited at all :(

Kinda Excited

I CANNOT WAIT!! LETS GET STARTED!

Not excited at all :(

Kinda Excited

I CANNOT WAIT!! LETS GET STARTED!

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* 24. Who should we thank for the referral?

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* 25. Are you ready to invest or just looking for more information?

Ready to enroll today

Looking for more information

Other (please specify)

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* 26. What is your favorite color?

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 PCU

Step 2 is to select a time that works best to review your application with our admissions team.