Application Form
To become a Dare2bU Life Coach® or Dare2bU Systemic Coach/Counsellor® you preferably need certain personal life experience and certain personal qualities. To get a better insight into the background of our students we need some personal information. This information will be kept strictly confidential. All the questions on this form have to be answered in order to be processed swiftly and correctly. If you submit this form by email omit the options below you either don’t need or are not applicable.
Name:...................................................................
(This name will be put on your certificate!)
Address:.................................................................
City:……………………………………………..
Province:…………………………………Postal code:………………
Home phone number: ………………………………
Cellphone:……………………….
E-mailaddress:……………………………………………………...
(Note! Give an address you check regularly as we communicate certain things to you by e-mail if necessary)
Date of birth:………………………………….. Gender: M / F
Occupation:…………………………………………………………….
Payment*: creditcard / Invoice / Cash
Application for the following course(s)
- 1 year Dare2bU Life Coach® Starting date:……………….. / Location:…………..
- 1 year Dare2bu Systemic Coach/Counsellor Course® / Starting date:……………….. Location:…………..
- ‘the Art of life Coaching’ Course Starting date:……………. Location:………….
- Facilitator Family Constellations course Starting date:..................................Location:...............
Take your time to fill in the next questions as some answers to these questions possibly need time to reflect on.
1) What is your highest education?
2) What relevant work experience do you think you have?
3) How much time do you have available for this study?
4) o you have the support from your partner/children/parents to do this course?
5) Why do you want to do this course and/or what do you want to get out of this course?
6) Which personal quality do you think you have to become a good Life Coach or a Coach/Counsellor?
7) What will be your biggest challenge with regards to your personal growth and inner development?
8) What kind of people do you prefer to help as a Life Coach or a Coach/Counselor?
9) How did you find us/ Friends / internet/ advertisement in:……………………….
We will always confirm receiving your application. There is always a possibility that a course is already full or occasionally doesn’t start because there are not enough students for a particular course date. If the latter occurs we will inform you a.s.a.p. and you will be given the possibility to either participate in another course on a later date or to cancel free of charge.
*Full payment is required in advance, at the latest 14 days before the starting date of the course. If you cancel within the 14 days before a course, you are liable for 25% of the course fee. Note that no restitution is given after the starting date of the course.
I agree with the terms mentioned above.
Name:……………………………………………………….
Date:………………………………………..
Signature:
……………………………………………..
Please send this form by mail or by E-mail: Dare2bU Academy® Inc.
3134 Robin Hood drive Nanaimo BC V9T 1P1 Canada
E-mail: (info@dare2bu.ca)
