EmailMeForm
W4C3 Coach Application
W4C3 has placed a temporarily freeze the acceptance of new coaches for client matching. Due to the overwhelming response of the coaching community, W4C3 is overcapacity and wants to ensure current W4C3 coaches are given priority. If a coach, is interested in joining W4C3, they may apply, and once accepted, will be placed on a waiting list until a position opens in the client matching roster. Those on the waiting list, will still receive all the other benefits of being a W4C3 coach, such as educational webinars, a coach picture and link on the website, and the opportunity to contribute blogs as a guest blogger.
Please review the following statements and respond appropriately to be considered as a coach for our program. The initial screening application will take approximately 5-10 minutes. If you meet the criteria, you will be immediately directed to our application which should take you approximately 15-25 minutes to complete. (Note: If you have trouble submitting, try pressing the TAB key to advance the screen)
Name
First
Last
Email
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Phone
###
-
###
-
####
Program Requirements
Please answer accordingly to the statements below regarding our volunteer coach requirements.
I am a coach who has COMPLETED at least 60 hours of coach specific training as defined by the International Coach Federation (ICF). I understand that I will be required to provide proof of completion prior to being accepted in the program.
*
Yes
No
You must have fully completed a coach training program that consists of at least 60 hours of coach specific training as defined by the ICF (http://bit.ly/2h87ML4). Proof must be submitted in the form of completion certificate or email received from the training program administrator. There are no exceptions to this requirement.
I live in either the United States or Canada and speak fluent English.
*
Yes
No
We are not currently accepting coaches who live outside of the United States or Canada. If you do not live in either of these countries, we invite you to stay connected with us through our newsletter to remain informed when additional international opportunities arise.
I agree to abide by the following policy: W4C3 does not discriminate based on race, religious or spiritual beliefs, sexual orientation or political affiliations in any way. We are an inclusive community dedicated to changing the world one person at a time.
*
Yes
No
I agree to view the W4C3 Orientation presentation and review the W4C3 Orientation manual (that will be delivered via email).
*
Yes
No
I understand that the coaching sessions are offered virtually via telephone and/or Skype. I agree to coach for a minimum of one 12-session round per enrollment year.
*
Yes
No
I acknowledge that upon acceptance to the program, I will be required to pay a $35 fee (via PayPal or Credit Card) to cover my annual enrollment administration fee. My enrollment will be set to automatically renew but I may cancel at any time. No refunds will be issued once the payment is processed.
*
Yes
No
If accepted to the program, I agree to complete a debrief survey at end of 12 sessions within 2 weeks of last session.
*
Yes
No
Age
*
Time Zone You Live In
*
Eastern
Central
Mountain
Pacific
Other
Coaching Availability: Please check ALL that apply. We will use this information to match you with clients. You may update this information at any time.
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
AM (9 am - 11 am)
Midday (11 am - 1 pm)
Afternoon (1 pm - 4 pm)
Evening (4 pm - 6 pm)
Later evening (6 pm - 8 pm)
Where did you complete your coach training?
*
When did you complete your coach training?
*
Please note that you must submit a copy of your completion certificate before we can officially accept you to the program as a volunteer coach.
How long have you been a coach?
*
Are you a member of ICF (International Coach Federation)?
*
Yes
No
If yes, what chapter? (n/a if no)
*
Do you currently hold an ICF credential?
*
ACC
PCC
MCC
No, but I am pursuing a credential at this time
No, and I am not pursuing a credential
On average, how many W4C3 clients would you be willing to coach per month as a volunteer coach?
*
What strengths do you bring to coaching women in a program like W4C3?
*
Are there other ways you might like to further the mission of W4C3?
How did you hear about us?
*
Please indicate by digital signature that you have read and agree to the expectations listed above and that the information you have provided is accurate.
Women For Change Coaching Community, Inc. (W4C3) does not carry or maintain liability or any other kind of insurance for W4C3 coaches. W4C3 coaches are independent volunteers and not employees or representatives of the W4C3 organization, and as such are independent contractors. Each coach is encouraged to check with their existing providers to see if they would be covered under those policies or require additional insurance. Coaches agree to indemnify and hold harmless Women For Change Coaching Community, Inc. for any claims, fees or liability related in any way to their activities or ommissions when coaching or volunteering their services for W4C3.
*
Clear
Thank you.
Unfortunately, you do not meet the minimum criteria required for coaches in our program. We invite you to apply again in the future if your situation changes.
In consideration of other coaching options we encourage you to connect with a local chapter of the International Coach Federation or review other resources listed at www.coachfederation.org
Paragraph Text