Certificate in Mentoring, Coaching, and Leadership Development Application

Notification of acceptance will be via e-mail and usually takes 10 business days from submission of full application.

Name (first and last):

Date

Address

City

State

ZIP

Phone

Educational Background (Check all that you have completed)

High School

Community College

College (Undergraduate)

Graduate Studies

Employment: What position or role do you hold and where are you currently employed?

Prerequisites: Check all that you have completed

Mentor Coaching Seminar

Coaching Skills Training

BSGR 574

Please answer each of the following questions.

What is your definition of mentoring? (max 50 words)

What is your definition of coaching? (max 50 words)

What is your definition of development? (max 50 words)

What are your strengths in your interpersonal relationships? (max 25 words)

What are your weaknesses in your interpersonal relationships? (max 25 words)

Why do you want to be certified in mentoring, coaching, and leadership development? (max 100 words)

Are you prepared to pay for and participate in all aspects of the certification process to the best of your ability?

Yes

Do you agree with and will you abide by the International Coaching Federation (ICF) Code of Ethics if you successfully complete all requirements for the Certification in Mentoring, Coaching, and Leadership Development offered by Grand View University?

Yes

Signature

The Certification process evaluation is based on your fulfillment of prerequisites, the answers you gave on your application, GVU's standards for education success and availability in each workshop/practicum.