Thank you for your interest in the Deep Coaching Certification program. This questionnaire is the first part of your application. Please complete all questions and click "Submit Questionnaire".

1. Please share the following information:

* First Name
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* Last Name
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* Email Address
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* Cell Phone
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* Street Address
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* City, State & Zip (and/or Country)
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* 2. Please list your education, degrees or certificates.
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* 3. What is your profession?
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* 4. Please describe your profession as it relates to coaching or another growth-oriented field:
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* 5. Please describe your work experience that is relevant to the Deep Coaching Certification Program:
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* 6. From the list below, please choose your dominant Enneagram type (if known).
* 7. From list below, please choose your dominant Enneagram wing (if known).
* 8. What Enneagram courses have you taken and with whom?
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9. If you are planning to apply the course hours of this program toward a particular accreditation please indicate the accreditation(s) below (e.g. ICF, IEA, etc.)
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* 10. How did you hear about this Deep Coaching Institute program (choose as many as applicable)?
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If recommended by a friend or colleague please share the name and we will send a thank you.
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* 11. Please describe what drew you to this Deep Coaching Institute program:
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* 12. Please describe any personal growth work you have done prior to applying to this Deep Coaching Institute program.
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* 12a. How do you feel your personal growth work and the work you will do in the Deep Coaching Certification program will enhance each other?
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13. Please select one client (past or present) and describe your work with the client in the following ways:

* a) briefly describe what brought the client to you:
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* b) briefly describe the nature of your work with this client (e.g. share two or three main challenges faced by the client):
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* c) what were two or three of the primary principles, or the model, that guided your work with the client?
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* d) briefly describe the main takeaways for both you and the client.
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14. If there is anything else you want your application review committee to know about you, please share it below.
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Thank you for taking the time to complete this questionnaire and start your application to the Deep Coaching Certification program. We will respond with next steps within three business days.