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Master Coach University

Application

Name ___________________________ Master Coach University Application

Welcome to Master Coach University and more importantly, the ultimate opportunity to expand and improve the quality of your life by mastering the skills necessary to lead, influence, and forever transform the lives of others. Ultimately, we are looking for a select number of committed individuals to begin Master Coach University this semester —people with the capacity to facilitate commitment, manage the results of their clients, and eventually lead a group of clients to greatness in their chosen field of endeavor.

The following application is designed to help you start thinking about why you are interested in becoming a coach and to help our selection committee understand what you want to get out of Master Coach University. Please take your time to fill this out completely and honestly. Some of the specific traits we are looking for include: coaching knowledge, accountability effectiveness, proficiency with intervention skills, speaking and presentation skills, logistical skills, initiative, adaptability, coach-ability, leadership, and professionalism. Overall, the most important trait is that of someone committed to taking care of your clients and helping them reclaim their true identity and turn whatever they dream about into reality.

(Please use back or additional paper if you run out of space for your answers)

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C O N T A C T I N F O R M A T I O N

Name: First MI Last

Home Address: Street

City State/Province

Zip/Country Code Country

Home Phone Daytime Phone

Email

Number of Children ❑ M ❑ F Current Age

Type or neatly print your responses, using additional paper if necessary.

APPLICATION DEADLINE - Friday. Send completed applications to: Master Coach University via…

Mail: 6346 Forest Stump LN, Jacksonville, FL, 32258

or Fax: 309-424-4759

or Email: [email protected]

mailto:[email protected]


* If you have had ANY previous affiliation with JTS Advisors, please contact the manager or director of that group to obtain a written recommendation (with signature) and include it with your application.


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F E L L O W S H I P P R O G R A M

C O N T A C T I N F O R M A T I O N

Coaching roles you have fulfilled in the past*:

“I am applying for tuition relief in the Master Coach Fellowship Program”

❑ YES ❑ NO

(If ‘yes’, fill in the following information and eligibility requirements below)

Total (personal) income last year:

I am unable to pay full tuition based upon the following situation(s):

“I desire to be a member of the JTS Advisors team”

❑ YES ❑ NO



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1. What motivated you, or what is your compelling reason, for becoming a Master Coach?

2. What do you feel that you bring to the table that makes you stand out from the other trainees?

S E C T I O N I : W H Y A R E Y O U I N T E R E S T E D I N B E C O M I N G A M A S T E R C O A C H ?

3. What makes you the most excited when you think about becoming a Master Coach?



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5. What are three traits that you feel you embody and represent, that would make you a successful, world-class Coach?

1)

2)

3)

S E C T I O N I ( C O N T I N U E D ) : W H Y A R E Y O U I N T E R E S T E D I N B E C O M I N G A M A S T E R C O A C H ?

6. What are some of your goals for the next 12 months (personal and professional)?

4. What are you most concerned about when you think about becoming a Master Coach?



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9. Do you see yourself having more impact as a Coach on the personal (general public) side or within the corporate market? Why?

7. Describe any coaching and/or leadership experience that you have had, or if you have had no previous experience, explain how you will learn these skills.

8. How would you rate your level of familiarity with coaching technology? Do you feel comfortable explaining how coaching works to other people? Specifically describe what technologies you are most familiar with?

S E C T I O N I I : E X P E R I E N C E



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10. What trainings and coaching programs have you been to? What personal development, professional development, and coaching products have you been exposed to (books, tapes, videos, etc.)?

11. How have you integrated what you have learned at events and through products into your life?

S E C T I O N I I ( C O N T I N U E D ) : E X P E R I E N C E

12. What other skill sets do you possess that make you qualified for this role?

13. What “juices” or motivates you?



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Highest Level of Education Completed:

❑ Less than High School ❑ High School ❑ Jr. College/Trade School

❑ Some College ❑ Bachelor’s Degree ❑ Postgraduate Study

❑ Postgraduate Degree

Your occupation:

Employed by:

S E C T I O N I I ( C O N T I N U E D ) : E X P E R I E N C E

S E C T I O N I I I : M O R E A B O U T Y O U

Approximate Annual Family Income (US dollars please):

❑ 0-$24,999 ❑ $25,000-$49,999 ❑ $50,000-$74,999

❑ $75,000-$99,999 ❑ $100,000-$124,999 ❑ $125,000-$149,999

❑ $150,000-$174,999 ❑ $175,000-$199,999 ❑ $200,000-$249,000

❑ $250,000-$499,000 ❑ $500,000-$749,000 ❑ $750,000-$999,999

❑ $1-$1.5 million ❑ $1.6-$2.0 million ❑ $2.1-$2.5 million

❑ Above $2.5 million



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Country / Region of Your Principal Residence:

❑ United States ❑ Canada ❑ United Kingdom

❑ Australia ❑ Germany ❑ France

❑ Italy ❑ Spain ❑ Netherlands

❑ Belgium ❑ Ireland ❑ Other Europe ___________

❑ Mexico ❑ South America ❑ Central America

❑ Caribbean Islands ❑ China ❑ Japan

❑ India ❑ Other Asia ____________ ❑ Middle East

❑ South Africa ❑ Other Africa ___________ ❑ Other _______________

Are you a student of other Master Coach University programs or the Synergy Private Client Program?

❑ YES ❑ NO

Send to: Master Coach University

Mail: 6346 Forest Stump LN, Jacksonville, FL, 32258

or Fax: 309-424-4759

or Email: [email protected]

ARE YOU INTERESTED IN, OR CURRENTLY PURSUING AN ICF CREDENTIAL?

❑ YES ❑ NO

CONGRATULATIONS! PLEASE RETURN BY

FRIDAY

S E C T I O N I I I ( C O N T I N U E D ) : M O R E A B O U T Y O U

mailto:[email protected]

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