Coaching Kit Licensing -for qualified Providers:
-
3 Step Licensing Process:

Step: 1
Submission of   Interest Form: 

Dr Skiffington's private, international, accredited educational institution assigns Coaching Kit Licenses according to a strict criteria of selection. Licenses are only placed with a limited number of qualified, accomplished individuals.
.-We know you have questions. What are the pre-qualifications? Is this the right program for you etc? By all means, send in the below 'Registration of Interest Form' and let's talk.

Step: 2
Telephone
Interview:
 

Upon receipt of the below form we will email you and arrange for you to speak with Perry Zeus (the Institute's Executive Director). Perry then calls you, at an appointed time, to: a) further explain the Coaching Kit Licensing Program, b) answer any questions you have and, c) subject to a mutually satisfactory outcome of the interview -accepts your application for selected Coaching Kits. Please note that we typically receive three to four applications per available License.  

Step: 3 Acceptance
Letter:

-
Criteria of Selection:

Within 48 hours of your interview, Dr Skiffington will review your application with Perry and instruct her office to email you either a formal 'Acceptance Letter' or an offer to be wait-listed for another possible future license. A successful applicant for a License of Use is chosen not only on their: relevant professional background and experience etc, but also upon their ability to successfully conduct the courses.  

Please note:
All information received is strictly confidential and will not be viewed or shared with any third party


.

 * = All fields required to be completed**

 

  - Firstly, how did you hear about us*

   a) Internet search? -Yes,  -Which search engine? -Google,Yahoo, MSN, Other:

   b) Referral: (past graduate, colleague, one of our Business Partners etc)  

   c) Other: (book etc)
 

 > Your Contact Information and Profile

 

Company Name:   

 Contact Name:   

Mr.  Ms.  Dr  First Name:
                               Last Name:

Address and Zip  
/Postal Code:   

State and Country:   

Tel' #'s -Landline:   

 Home: Business:  
     Cell:

 

Email -Personal:   

> Please re-enter your address to ensure it is correct >

> Email -Personal:   

  Business:

Web Site:   

 

   Your Position :

  

  - and/or Title :

Owner         President/CEO   Vice President
Director      Manager        Other:

     

 

  Decision Making
  Process :

I am the final decision maker.
I have influence in the decision making process.
I may make a recommendation for a purchase.
- The Name of the Final Decision Maker is:  

     

 

  Your
  Organization's
  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:  
 

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

  

 

What do you wish to achieve by providing the Mind WorkOut Coaching Kits?

  

 
 

Any further Information etc./Your 'People Development Experience' etc?:

  

 
 
  > Select Courses Interested in Licensing -complete, then Submit (bottom of page):  

-Yes! - I wish to discuss licensing of the below nominated Coaching KITS: 
Select License Category:
 -For Self-Coaching Purposes    - Solo Practitioner     -Business (less than 50 employees) 
 -Corporate    - Educational Provider
  Foundational (Package of 4 ) Mind WorkOut Coaching Kit
   
  -These core 4 Mental Skills Courses are required to be first completed by a course participant before they
      undertake one or more of the below Personal Skills Coaching Course Modules... 
 
Personal Skill Coaching Kit Modules:

  Unleashing Creativity
  Coaching for Results
  Self-Awareness
  Taking Ownership
 
Managing Emotions
 
Relaxation, meditation, visualisation
 
Problem-Solving Techniques
 
Journalling and Mind-Mapping
 
Eliminating Self-Limiting Beliefs
 
Strategic Goal Setting and Action Planning
 
Communication Skills
 
Learning

* Licensing Fees varies according number of Courses
  selected and type and period of License..
  See here for:- > Licensing Fees Page

Coaching Tool Kit Modules:

  Personal Change and How to Change
  A Toolkit of Change Techniques and Tools
  How to use valid Change Models
  The 5 Forms of Personal Development
 
The Seven-Step Personal Development Process
 
The 10 Stage Model for Changing Behavior
 
Coaching for Results
 
Cross Cultural Change
 
How to increase Sales Performance
 
Personal Change in a Educational Setting
 
Personal Change in a Health-Care Setting
 
Personal Change in Small Business
 
Personal Change in Organizations
 
Training Managers to become Coaches
 
Energising Change Leadership
 
Developing Teams 

 
Select Term of License:
 -3 Years    - 10 Years  
 
       - Nominated Territory (Country/State/Region/City/Business Industry/Sector) etc for license:
      
 

# Optional Mentoring/Support:
This important, exclusive mentorship (personally provided 1-to-1 by Dr Skiffington) ensures her long term commitment to your success. (Via telephone -Dr Skiffington calls you at an appointed time ---at $250 / GB£135 / Euro200 for the one hour session). This optional personal and practice support ensures the successful application of the Step-by-Step Facilitator Guide Notes -and provides a means to receive guidance on a "need-to" basis etc..  

Because Dr Skiffington's time is scheduled three months ahead, mentoring must be paid for in advance with the Course License. Note these sessions are used on a 'on-need-basis'.

 -Select number of course facilitation support sessions:
      
-1, -2, -3  -4  sessions 
     
- Note:- Any additional mentoring sessions are subject to the approval and the availability of Dr Skiffington

 

       

                                                                       

 

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Dr Skiffington
Behavioral Coaching Institute
New York, London & Sydney
All rights reserved.
Contact: info@
mind-workouts.com
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