International Coach Federation (ICF) Application for Business Coaching

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* 1. Contact Information

First Name: *

Last Name: *

Address: *

Apt: *

City: *

State: *

Zip: *

Development Name: *

Email Address:

Phone Number: *

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* 2. Business Information

Business Name:

Time in Business (Years)

Time in Business (Months):

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* 3. Please define what coaching means to you.

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* 4. Have you ever connected to business services through REES,Yes or No? If so, what partner did you previously receive services from and what was the outcome?

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* 5. What NYCHApreneur category applies to your business?

Dreamers

Idealist

Underground Entrepreneur

Go-Getters

Champions

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* 6. What impact do you desire coaching services to have on your business?

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* 7. What role do you play in achieving your desired impact?

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* 8. Briefly describe a time when you worked with someone else to achieve a goal. In working with them, how did you incorporate one of their suggestions into the final outcome?

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* 9. How will you make time to meet with your coach for at least one hour every two weeks? How will you make time to complete any take home assignments? Check FAQ regarding scheduling disclaimer.

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* 10. What progress have you made in your business to date? Explain below:

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* 11. Please share with us the following; ie. achievements, certificates

Greatest Monthly Income?

Any Certificates Received?

Any Financing Obtained?

Formalized Business Entity

International Coach Federation (ICF) Application for Business Coaching

Question Title

* 1. Contact Information

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* 2. Business Information

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* 3. Please define what coaching means to you.

Question Title

* 4. Have you ever connected to business services through REES,Yes or No? If so, what partner did you previously receive services from and what was the outcome?

Question Title

* 5. What NYCHApreneur category applies to your business?

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* 6. What impact do you desire coaching services to have on your business?

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* 7. What role do you play in achieving your desired impact?

Question Title

* 8. Briefly describe a time when you worked with someone else to achieve a goal. In working with them, how did you incorporate one of their suggestions into the final outcome?

Question Title

* 9. How will you make time to meet with your coach for at least one hour every two weeks? How will you make time to complete any take home assignments? Check FAQ regarding scheduling disclaimer.

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* 10. What progress have you made in your business to date? Explain below:

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* 11. Please share with us the following; ie. achievements, certificates

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* 12. Rate your excitement about this opportunity on a scale from 1 (lowest) to 10 (highest):

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* 13. Referred by: If no referral, please indicate.