DCC Questionnaire Gravity Form

Thank you for your interest in the Deep Coaching Certification program. This questionnaire is the first part of your application. To complete the questionnaire, please answer all required questions then click the "Submit Questionnaire" button at the bottom. Thank you.

1. Name and other contact information*

First Last

Cell Phone

2. Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

3. Please list your education, degrees and/or certificates.*

4. What is your profession?*

5. Please describe your profession as it relates to coaching or another growth-oriented field:*

6. Please describe your work experience that is relevant to the Deep Coaching Certification Program:*

7a. Please select your dominant Enneagram type (if known).*

7b. Please select your dominant Enneagram wing (if known)*

8. What Enneagram courses have you taken and with whom?*

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.)

10a. Please tell us how you heard about this Deep Coaching Institute program (choose as many choices as applicable).*

10b. If recommended by a friend or colleague please share the name and we will send a thank you.

11. Please describe what drew you to this Deep Coaching Institute program:*

12a. Please describe any personal growth work you have done prior to applying to this Deep Coaching Institute program.*

12b. How do you feel your personal growth work and the work you will do in the Deep Coaching Certification program will enhance each other?*

13. For Question 13 a-d, select one client whom you have coached (or are currently coaching), and describe your work with this client in the following ways:

13a) For the client in #13, briefly describe what brought the client to you:*

13b) For the client in #13, briefly describe the nature of your work with this client (e.g. share two or three main challenges faced by the client):*

13c) For the client in #13, what were two or three of the primary principles, or the model, that guided your work with the client?*

13d) For the client in #13, briefly describe the main takeaways for both you and the client.*

14. If there is anything else you want your application review committee to know about you, please share it below.^^

^^ Please note, as with any program that focuses on deep internal exploration, you may find latent trauma being triggered as you go through the Deep Coaching Certification program. If this is a concern you may consider letting a therapist know of your participation and that you may need counseling over the ten month period. Separately, you will have the support of the Deep Coaching Institute Faculty, Mentors and Staff throughout the program.

Deep Coaching Certification Program Questionnaire

Thank you for your interest in the Deep Coaching Certification program. This questionnaire is the first part of your application. To complete the questionnaire, please answer all required questions then click the "Submit Questionnaire" button at the bottom. Thank you.