Use this form to register for an upcoming course

You did it! You're here, you're ready.
Where inspiration meets action, therein lies the key to all transformation.
 And it starts with a single step.
 
Welcome! I'm thrilled that you have taken this step to achieving your goals! This is a big deal.

This short form will help me get to know you better prior to class!
It will also walk you through step by step how to register for your Course with me. You are just a few steps away from beginning your program and receiving the support you need to achieve your goals!

As you may know, I offer two tracks to help you reach your goals and offer you support.  
  • Private Coaching and Training Programs
  • Group Classes

Next steps:
  1. Once you have completed this form, use the link below to complete your course registration. This payment link will take you to my online store so you can secure your spot in the upcoming class.
  2. If you have a question about the program, please let me know. Send your email to rebecca@rebeccacooley.com.  
  3. Once your registration is complete, you will receive your Welcome Email! with details about your program. *Please add @rebeccacooley.com to your address book.

    I'm looking forward to meeting you soon and helping you achieve your goals and offer you the support you need. Please let me know if you have any questions. Thank you! 
 
Wishing you much peace and joy, 
-Rebecca Cooley
Certified Master Coach & Instructor
 
*Master Coach Rebecca Cooley specializes in executive coaching, public speaking training, career coaching, interview preparation, goal achievement, and mindfulness.  

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* 1. Contact information

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* 2. Why now? Why me? Why have you decided to join me in this program now?

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* 3. What is the one big thing that is getting in the way?

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* 4. Fast forward 12 months in the future, what would success look like to you if I helped you with that? 

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* 5. What strategies have you taken so far to help you achieve your goals and address any challenges you are facing? (check all that apply)

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* 6. How do you hold yourself accountable and motivated to achieve your goals?

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* 7. Which areas are you currently looking to improve? (check all that apply)

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* 8. Because of the whole person approach and intrinsic coaching involved in my coaching programs, my programs are designed specifically for partners who are looking for the specific type of coaching I offer.

My partners are:
  • Courageous and willing to look at all aspects of the issue including internal blocks and beliefs to make lasting shifts
  • Committed and willing to do the work needed to achieve their goals
  • Motivated or willing to learn motivational strategies
  • And ready to take it to the next level with their personal or professional goals

Are you a Catalyst?

Please take a look below and check the boxes if you feel this is you:

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* 9. Which keywords did you use to search for us? (ex. public speaking class Raleigh)

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* 10. FINALIZE YOUR REGISTRATION HERE 
(IMPORTANT: Open links in separate tabs and Remember to press "DONE" to submit this registration form.)

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