Donation-Based Coaching Application
This is for clients who are ready for coaching but not in a position to pay full price. If we're a good match, I'll add you to the list, and will let you know know when we can schedule our one hour session. Learn more about me at rachelcurry.com
Email address *
YOU
Tell me about yourself!
Name: *
Your answer
E-mail *
Your answer
Phone *
Your answer
Time Zone *
Your answer
What is your Enneagram type? *
Take the free test here: http://www.9types.com/rheti/index.php (You can take the RHETI or the New Test). Or, read over the types and pick the one that you think fits you best: http://www.9types.com/descr/
Your answer
Do you know your learning style? *
How do you prefer to get information?
Required
WHY COACHING? WHY NOW?
Please describe your motivation for coaching
What brings you to coaching? *
Your answer
Why is it time to make a change now? *
Your answer
What is one thing you'd like to change in your life right now? *
Your answer
How would your life be different if you made this change? *
Your answer
What would keep you from making this change? *
Your answer
How do you feel now about yourself, and how do you want to feel? *
Your answer
SCHOLARSHIP
Please describe what makes you a candidate for this scholarship
What makes you a good fit for this scholarship coaching session? *
Your answer
I do not ask you up front how much you're able to give in exchange for the scholarship coaching session. Choose an amount that makes you feel committed to yourself and to the process of coaching. If chosen to participate, I do ask that you process payment prior to the session. Please check below to indicate you understand. *
Required
I'M LISTENING
Anything else you want to share?
Do you have any questions for me?
Your answer
Is there anything else you want me to know about you as I consider your application?
Your answer
A copy of your responses will be emailed to the address you provided.
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