Associate Coach Application Form

Please complete the form below. All questions are required but please insert n/a or 0 if not applicable. If you have any further information to tell us, please email hello@balanceology.uk with the subject line 'Associate Coach Application'. Thank you

First name

Last name

Phone

Address

Location (general geographic area):

Business name

Website:

Hourly rate private individuals:

Hourly rate public sector / start up / charities:

Hourly rate corporate:

Specialisms / areas of significant experience:

Coaching qualifications:

Coaching approach:

Memberships with professional or coaching bodies:

Approx number of coaching hours to date:

We require all associates to have regular supervision either with Jayne, as a member of the Balanceology Hub or with an ICF credentialed, qualified supervisor. Please enter the name of your supervisor:

Please enter a summary bio (approx 100-150 words) in the 3rd person

Tell us a fun fact about yourself!

Testimonials: (please email us a Word document if you have multiple testimonials)

Please send us a recent hi res headshot (.jpg or .png file). Can you please ensure you send one that shows all of your head!

Associate Coach Application Form

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