Class of Coaches Application

Full Name*
Email Address*
Phone Number + area code*
Website*
Instagram, LinkedIn & Facebook URLs*
Have you invested in coaching before and being coached yourself? Please explain.*
Have you done coach training before or are you certified in another method? If so please explain.*
Have you been through the Unstick Your Mind program yourself?*
- Yes I'm a past student and I'm excited to teach the program!
- No I have not yet experienced the Unstick Your Mind program.
What are you hoping to achieve by becoming a certified coach and facilitator?*
In life and in business I'm the type of person who...*
What is your level of commitment to reaching your goals?*
- I'm fully committed to do whatever it takes.
- I know I need help I'm just not sure what to do first.
- I'm just checking what resources are available.
What area/city/country do you live?*
Privacy Policy*
- I agree to the Mimika Cooney collecting my information via this form.
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