Name(Required) First Last Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Cell Phone(Required)Home PhoneWork PhoneFaxEmail(Required) Enter Email Confirm Email Date of Birth(Required) Month Day Year Gender(Required) Male Female Marital Status(Required) Married Single Divorced Widowed Cohabitating Spouses Name # of ChildrenComplete the Following StatementIn which year did you graduate from High School?(Required) High School Certification(Required) Diploma GED Did you graduate from college?(Required) Yes No List College Degreesincl. Associate, Bachelor, Master, DectorateDegreeCollegeYear Add RemoveCertificate ProgramsNameYear Add RemoveWhat is your denominational preference?(Required) What is your current occupation?(Required) Have You Ever Been Conviced of a Felony?(Required) Yes No Please explain in detail. A conviction does not necessarily disqualify you from enrollment in the program.(Required)Which certification best describes the ministry or career you will launch?(Required) Certified Identity in Christ Coach Certified In His Image Coach Not sure yet Questions to Get to Know You Better and Empower You to Lay Out Your Goals1. Please describe your Christian walk, how long you have been a Christian, how you participate in your relationship with God, and how that relationship affects your life.(Required)2. What are your goals for coaching as an Identity in Christ/In His Image Coach?(Required)3. What have you learned in life that's relevant to why you want to become an Identity in Christ/In His Image Coach?(Required)4. Have you had any other training and/or Certificates in Coaching, Bible Training, or Discipleship?(Required)5. How do you know you are called to be an Identity in Christ/In His Image Coach?(Required)Additional RequirementsPlease upload a letter of reference from your Pastor or other Ministry Leader who knows you, explaining why they believe you can successfully coach clients into greater transformation in the Lord, and their true identity in Christ.(Required) Drop files here or Select files Max. file size: 10 MB, Max. files: 1. Please upload your resume.(Required) Drop files here or Select files Max. file size: 10 MB, Max. files: 1. Please upload a current photograph.(Required) Drop files here or Select files Max. file size: 10 MB, Max. files: 1. Please tell us how you were referred. Advertisement Internet By an Individual Other Payment Plan(Required)You can pay in full $2,995 or have us automatically charge your credit/debit card for $500/months for 6 months. The first payment will be made upon submitting this application. Pay in full ($2,995) $500/month for 6 months Credit Card(Required) Refund Policy & Disclaimer(Required)REFUND POLICY: No refunds. We do not believe anyone should pay for a program they will not use. That is why we ask the question above: how do you know God has called you to become an Identity in Christ/In His Image Coach? It is important that you pray into this decision and feel the confirmation from God and those you trust that this is His calling. All callings from God will come with their fantastic rewards, some tough times, and the need to press through different levels of spiritual opposition. We are here to support you! DISCLAIMER: This program is designed to lead you, as the coach, into a powerful transformation of waking up your true identity in Christ, restoring you into your true identity in Christ, and empowering you to walk in your true identity in Christ. From that place this program trains you through supervision and courses to lead your clients into their own Identity in Christ transformation. Completing this certification program does not guarantee you any job or ministry position. It does not guarantee your success as a coach. Please check the box below to indicate that you fully understand this and that all transformation for yourself and your clients requires daily growth and exchanging a worldly/lie-based identity for a true identity in Christ. Furthermore, you do not hold In His Image Institute of Coaching responsible for success in either. I agree.Signature(Required)Typing your name here is a legal signature. PhoneThis field is for validation purposes and should be left unchanged.
