Life and Executive Coaching Courses for license

1. - Firstly, have you completed the Institute's Master Coach Course?

-Yes! Details/Graduate Year
- Not yet, but if granted a License, I will enrol and understand I will also be eligible to receive the discounted E-Learning Scholarship Course Fee ($us895 -Normal Standard Individual Rate is $us1,495. SAVE $us600).
Note:
>> Immediately upon our receipt of the licensing payment by a successful applicant, the qualifying Master Coach Course Manuals (to read and complete), License and the selected Licensed Courses are forwarded.

2. The territory I am interested in reserving is:
Country:

Define Your preferred Region (Small Country or City or
State or Geographic region of larger Country etc):

- Currently I do not provide any professional or personal development courses
- I am an existing Educational Provider

A) Training Partner - Yes! I wish to apply for a license to deliver (online or/and campus format) the:-
   - Manager / Leader as Coach (MLC)
   -  Certified Professional Coach (CPC)
   - Both Courses (15% discount off below standard rates for each course
   Per Course:
- -Solo -2 years (1 license holder) -$us2,950 or 4 Year License: $us3,950
   - Educational, Business or Corporate License -(P.O.A) -from $us5,950

	B) Alliance Partner (ACT -Accredited Coach Trainer)

YES! Please submit my application into the ACT Program which includes:
- 2 years right to use and modify select content from the Master Certified Coach (MCC) Course within my own course/s. Note this does not provide rights of use to deliver the MCC Course -only the use of MCC Modules within your own course:
- -2 years (1 license holder) -$us3,450
-5 Year License (includes rights for license to be held in 2 names / business partners): $us4,650

FREE LIMITED BONUS this Semester:
Yes! I also wish to receive, at no extra cost, the additional Professional Coach Practice Toolkit and Resources Library (over 300 pages) that I can also select content from and include in my own course/s..
Value $us1,295.00

- NOTE: ICC Accreditation of your own developed course is not included.

C) Strategic Territorial Partner - Telephone Interview

- Yes! I wish to apply for a 5 Year License which exclusively provides me (within my designated territory) sole use of the BCI brand and logo and BCI Course/s.
- Licensing Course Rights include:
    - Certified Professional Coach (CPC) -Live Class or Online/Self-Study
    - Manager / Leader as Coach (MLC) -Live Class or Online/Self-Study
    - The Certified Master Coach (MCC) Course # (Online/Self-Study)
- Note: All of your course facilitators are required to complete the above latest version of the Master Coach Course# (which can be delivered by yourself).

USD$9,980 (less 10% payable in full by bank wire/transfer) .
                                              -or-
Payment Plan: For those requiring assistance -$4,990 upon license being issued and    $4,990 following (via 12 monthly payments of $417).

-Nominated Country/State/Region/City and Business Sector etc looking to operate in:

Full Name:
Business Name:
Address/Zip:
State & Country:
Tel. #'s:	Home: Biz:
Email :	Biz: Personal:

Website :

Profession / Position :

	Your Professional / Educational Background / 'People Development Experience':

Your Annual Revenue is approx' :		<$250 thousand <$500K $500k -1 million $1-5 million $5-10 million $10-25 million $25-50 million $50> million

Number of employees : Years in Business:

Brief description of your business -for example: history, organizational structure, type of services/products provided, geography covered, marketing expertise and any other appropriate profile information etc .


What are your business goals in providing coach training courses?


Any further Information etc?:


Any Faculty Sponsor or other Referral Names etc to support your application: