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Coach Profile Form

PLEASE NOTE:

You must register with this site and pay the yearly fee before this profile will be published.

This form will create your profile page.  It will be reviewed for content prior to inclusion in the Search Coaches Database and you must be a paying member of St. Louis Coaches to publish a form.  If you would like help in completing this form, email the Webmaster.

Please provide the following information: (* denotes Required)

Contact Information

*First Name
*Last Name
Title
Organization
Street Address
Address (cont.)
*City
*State
*Zip Code
*Work Phone
FAX
*E-mail
Website URL

Coaching School Attended/Attending.* (Be sure to include pending or actual graduation dates as a point of reference.)

Please indicate any coaching credentials and/or certifications you have earned.*

ICF Master Certified Coach (MCC)
ICF Professional Certified Coach (PCC)
ICF Associate Certified Coach (ACC)
Coaching School Certification
No coaching credentials/certifications yet

ICF Member?

Yes
No

Please describe what you want clients to know about you and your coaching practice.  You can include such information as your coach training and/or academic background.*

Please select all the coaching specializations that apply to you: (Choose up to 5)*

Attention Deficit Disorder (ADD) Assessment Tools Canine Coach Career
Children College Students Computers & Technology Corporate
Creativity Executive Finances & Money Health & Fitness
Leadership Development & Teams Life Balance Life Planning Marketing & Public Relations
Mentor Coach Mid-Life Personal Public Speaking
Publishing Relationships Retirement Sales
Small Business Spiritual Teens Time Management
Web Design      

Please indicate your basic fee structure and any comments regarding your fees:*

Less than $150 per month
$150 - $249 per month
$250 - $499 per month
$500 or more per month

Optional extra fee structure comments:

Please select the coaching methods you use:*

Email
Group Coaching
In Person
Telephone
Workshop/Seminar

Please describe your Ideal Client.


For More Information:
Email: Coaches@stlcoaches.org

Or Contact

Beverly Berner, PCC  (314) 351-6812  Bevcoach@mindspring.com
Barbara Luther, MCC  (314) 878-4044  Barbara@windbeneathyourwings.com

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