LEADERSHIP FOR IMPACT COACHING CLASS APPLICATION

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First Name*

Last Name*

Email Address*

Phone

How would you describe your current coaching practice? (In a few sentences)*

Why are you interested in this Impact Coaching Class? (In a few sentences)*

How do you wish your coaching practice to evolve as a result? (In a few sentences)*

What is a positive impact for you? (In a few sentences)*

Why did you enter the field of coaching to begin with? (In a few sentences)*

When you think of actualized leaders/creators making a positive impact, who do you think of? (List of 3-5)*

Will you be willing to apply the principles you learn about freeing success in these leaders to yourself and your own practice?*