Coaching Application

PROFESSIONAL & PERSONAL COMMITMENT BY YOU.

Please read and agree to the following before proceeding further with your application.

If I commence with the coaching I acknowledge, agree and commit to the following:

I take on being coached voluntarily and under no duress
I will openly and honestly discuss my professional strengths, weaknesses, skill gaps, challenges and obstacles with the coach
I will actively participate in developing my professional and personal goals
I understand that the coaching process requires a significant learning and development commitment and I am willing to do the work required in the time frames agreed
I take responsibility for my own learning, actions and behaviour-change in the coaching process
I will maintain a record of the coaching conversations, the goals, the plans and the actions in a coaching journal, that I will maintain and bring to each coaching session
I am willing to take risks, experiment and try new strategies
I am prepared for some frustrations, mistakes and to be flexible
If I feel that the coaching is not achieving what I expect, I will be prepared to discuss this immediately and to state how I believe the coaching might alter course with the coach
I am prepared to participate in regular reviews of the coaching and to evaluate the outcomes according to goals developed with the coach
I will disclose to the coach if I am receiving psychological support from a health professional such as a psychologist, counsellor or doctor for any mental illnesses or instabilities.
I understand coaching sessions are confidential unless mutually agreed to otherwise
I understand that the confidentiality is ceased if the coach determines my behaviour and mindset to be potentially harmful or a significant threat to myself or others.
I understand that the confidentiality is ceased if the coach determines I will or have acted illegally

Name*
First Last
Company*
Company Type*
- Privately Held
- Publicly Listed
Position / Title*
Email*
Work Phone
Mobile*
Address
Please complete the following questions to ascertain whether you are suitable for coaching within my framework and approach.
1. Why is coaching an appropriate form of intervention for your development and progress?*
2. What is the difference between coaching, mentoring and management?*
3. Why should I engage you as a coaching candidate?*
4. What are the most significant current obstacles to your development?*
5. In general, what do you want from your work?*
6. Why do you want everything you just detailed in question 5?*
7. Why did you choose your current job?*
8. How do you know if you have done a good job?*
9. How do you know if peers of yours are good at their job?*
10. What are the most important aspects of leadership?*
11. What is your main objective as a leader?*
12. Why are you an asset to your business?*
13. What are your major professional strengths?*
14. What are your major areas and opportunities for professional development?*
15. How important are relationships in determining your success as a leader? Why?*
Agree*
I commit the answers given above, as a true indication of my values, behaviours and beliefs with regard to the subjects they address.