ActionCOACH Employee Business Coach Application Form 1Application Notes2Personal Details3Education4Business Experience5Relevant Non-Business Experience6Business Coaching Suitability7Applicant Representation ActionCOACH Business Coaches are selected on the basis of experience, character, integrity, and general suitability. In order to more accurately assess your suitability in becoming an ActionCOACH Business Coach you will need to complete this Applicant Background Information Statement. Your confidential Information Statement will then be retained by ActionCOACH for assessment towards your suitability toward purchasing and operating an ActionCOACH Business Coach. This information will not be used or disclosed for any other purpose without your prior approval and may at your request be destroyed or returned to you if your application is unsuccessful. This section requires you to disclose your personal contact details. ActionCOACH has two main reasons for requesting this information: to give us full and correct contact information for our records; and to assess parts of your personal life, so we can gain a greater understanding of your needs and how these will impact on your ability to operate as a Business Coach successfully. Date of Application* MM slash DD slash YYYY Name* MrMrsMissMsDrProf.Rev. Title First Last Address* Street Address Address Line 2 City County / State / Region ZIP / Postal Code Number of years at your current address:*Previous address if less than one year at the address listed above Street Address Address Line 2 City County / State / Region ZIP / Postal Code Home Phone:Mobile PhoneBusiness PhoneEmail Address* Occupation details:Your Occupation Details:* Company Owner Business Owner Self Employed Currently Employed Not Currently Employed Business DescriptionAnnual TurnoverNumber of staffYour incomeCurrent EmployerType of businessYour PositionYour IncomeDays per week that you workAverage hours per day that you workAre you legally authorised to work in the UK?* Yes No When will you be legally able to work in the UK? MM slash DD slash YYYY Is there anything which may hinder you in effectively working in this style of business?* Yes No Please detail the area(s) of concern and possible solutionsAre there any medical conditions we need to be aware of?* Yes No Please provide detailsHobbies & Interests:Please detail your hobbies and any other interests: This section requires you to disclose your educational details in secondary/high schools attended as well as tertiary education facilities. Even though education is an important factor in assessing your appropriateness to be an ActionCOACH Business Coach, education is not used in isolation. Assessment of your abilities to operate as an ActionCOACH Business Coach favours the level of experience you have gained as well as your attitudinal qualities.EducationIf you would like to upload a CV, please do so here. This should include a head shot image. If you do not have a CV please just upload a headshot image. I would like to upload my CV I would like to upload an image FileMax. file size: 16 MB.ListSchool AttendedYearsQualifications Tertiary education institute attended and level of achievementFacility AttendedYearsQualifications This section requires you to disclose your business experience. Assessment will take a broad range of experience into consideration: Your level of management experience; training and or coaching experience; marketing and or sales experience and lastly, your level of overall experience in operating either a small business or managing a business unit or department.Business ExperienceStarting from most recent, list your business experiencePeriodPositionCompanyType of businessResponsibilities In this day and age it is common practice for individuals to undertake activities that are not considered main-stream education but add to the individuals abilities to effectively operate a business or administer a business unit/department. In order to assess your ability to become an ActionCOACH Business Coach it becomes important to gain knowledge of the courses and personal development activities you have undertaken. This section details your activities within the further education and personal development arena.Relevant Non-Business ExperienceCourses or personal development activity which relate directly to this style of business; listed by priority of relevanceCourse/ActivityDate CompletedActivity Overview Courses or personal development activity which don't relate directly to this style of businesshowever, have added to your abilities to communicate or relate towards people; listed by priority of relevanceCourse/ActivityDate CompletedActivity Overview This section covers a broad range of issues, which have been included to help ActionCOACH assess your attitudes in a number of areas. As an ActionCOACH Business Coach your attitude towards assisting people is a critical success factor.Business Coaching SuitabilityWhen working for other organisations, what positions and or responsibilities have provided you with the highest level of satisfaction and secondly, why did these responsibilities give you satisfaction?When working for other organisations, what positions and or responsibilities have provided you with the lowest level of satisfaction and secondly, why did these responsibilities give you limited satisfaction?During your lifetime, what do you consider you have been successful at (major accomplishments) and why do you consider you were successful?What do you most enjoy when coaching other people?What do you least enjoy when coaching people?Do you prefer to work as part of a team or independently?* Team Independently Please explain your answerList 5 reasons why you think becoming an ActionCOACH Business Coach is a positive step in your life*Are there any legal proceedings against you? Yes No Please provide detailsDo you have any criminal convictions recorded against you? Yes No Please provide detailsPlease list two people you have worked for that can give you a reference. They will be contacted via telephone and will be conducted in a professional manner.Person's NameWorking RelationshipTelephoneMobile I understand that in signing this form I am not legally obliged to become an ActionCOACH Business Coach and that all the information I have provided is confidential for the purpose of assessing my eligibility and suitability as an ActionCOACH Business Coach. The information contained in this report is not to be provided to any other person or organisation. If I do not become an ActionCOACH Business Coach this information will be destroyed or returned to me at my request. Applicant RepresentationI state all the information submitted to be true and accurate and I accept the above* Please tick this box to confirm Please write your name to sign*
