W4C3 Coach Application
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)
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Trinidad and Tobago
Bosnia and Herzegovina
United Arab Emirates
Papua New Guinea
Central African Republic
Democratic Republic of the Congo
Republic of the Congo
Sao Tome and Principe
United Republic of Tanzania
Country / Region
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.
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.
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 woman at a time.
I agree to view the W4C3 Orientation presentation and review the W4C3 Orientation manual (that will be delivered via email).
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.
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.
If accepted to the program, I agree to complete a debrief survey at end of 12 sessions within 2 weeks of last session.
Time Zone You Live In
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.
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)?
If yes, what chapter? (n/a if no)
Do you currently hold an ICF credential?
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.
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