Coaching Accreditation Program

Please complete this registration form and return with your $550 deposit, which is non refundable,
to growth coaching international

Program Location/Date

Location: *

Date: *

Personal details

Title

First Name *

Last Name *

Email Address *

Work Address *

Suburb *

State *

Postcode *

Country *

Home Phone Number

Work Phone Number *

Work Fax Number

Mobile Phone Number

Current Occupation:

Employer Organisation/School:

Qualifications:

The minimum entry requirements into this program are:
• Aspiring Leaders
• Previous managerial or leadership experience with small or large teams or project
• Presently in a role in an educational organisation (including school, university, TAFE, related Head Office roles or other private or government educational institution) or Not for profit organisation.

Please outline briefly your professional background and experiences that would contribute to your
coaching development:

Please outline your purposes for undertaking this program:

Registration Form - Payment

Please indicate the program and phases you wish to undertake and your preferred method of payment. Programs conducted outside Australia do not attract the 10% GST.

Phases 1, 2 + 3:

Phase 4 (Optional):

Full Program Phases 1 - 4:

Please note: All telephone costs in Phase 2 and Phase 4 associated with telephone coaching sessions and mentor discussions will be additional to the stated fees and paid directly by participants.
Payment by installments is available by negotiation.
Further significant discounts are available for organisations who wish to run this program in house.
A non-refundable $550 deposit is required upon registration. Balance of program fee to be paid as per times above.
Participants need to commit to the entire program – especially attendance at all workshop days during Phase 1 and 3.
If you feel your participation may clash with other commitments we strongly suggest re-enrolling into another program, to ensure minimum disruption to other participants.

Payment details

Payment Method * *
Credit Card (Visa or Mastercard via Paypal)
Cheque / Direct Deposit

Please advise the amount to be paid (min $550AUD) *
(must be a number)

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Coaching Accreditation Program

Program Location/Date

Personal details

Registration Form - Payment

Payment details