Tree
CSC logo

Stonepile
Application
Crossroad Solutions Coach Training Program
For January 28, 2019 - July 31, 2020
Application Deadline: January 12, 2019

Please complete and send the application form below.

You will be contacted soon for an personal interview.

Cheers!

Deborah Mayer, MA, PCC, CRC
Crossroad Solutions Coach

Application
Coach Training Program
Crossroad Solutions Coach Training Center
January 28, 2019 - July 31, 2020
Application Deadline: January 12, 2019

Name    First    Last

Address

City, State, Zip

E-Mail

Videophone   Text    

Best time to call:  Day   Night

I am Deaf  Hard of Hearing  Hearing

My preferred sign mode is ASL  Sign English 

My education:
MA   Major, College/University, Year.   Type in box below.                

BA   Major, College/University, Year.   Type in box below.                

If no degree, how many college years?

Just took some college courses.
     What were the courses and when?   Type in box below.
     

Professional Experience
I have four to five years professional work experience in coaching, human resources, human services, counseling, leadership, organization development, deaf education, rehabilitation, deaf community or related fields.
Yes   No

Be sure to send your resume/CV and professional summary to deborah@crossroadsolutionscoach.com

My reason for applying:
I just want to take one course to see if I like coaching.
I am committed to become a coach and will take
     the program. (This is a personal affirmation for you.)

What interests you about the Coach Training Program?
Type in box below.
 

Do you have questions?   Type in box below. 

After you have completed the application form,
please press the Send button.

You will be contacted soon for a personal interview.

Cheers!

Deborah Mayer, MA, PCC, CRC
Crossroad Solutions Coach