GESTALT INTERNATIONAL STUDY CENTER
Apply for the Competency Development Program for Coach Certification
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Company
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Current Position
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ICF
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Current Profession
Psychotherapist
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Coach
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Educator
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Other Professional Affiliation
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Professional Experience
Please include dates and description (5 years professional experience required).
Coaching Statement
In 200 words or less, outline your purpose in applying to this program.
If you have been coached or coached others: What types? How long? What was it like for you?
Describe an important influence in your development as a professional.
How do you believe this program will help you professionally?
Coaching Statement
Education
Academic Institution 1
Graduation Year 1
Degree 1
Major/Field of Study 1
Academic Institution 2
Graduation Year 2
Degree 2
Major/Field of Study 2
Other Professional Education Relevant to Coach Certification
Program 1
Leader 1
Length of Time 1
Year 1
Program 2
Leader 2
Length of Time 2
Year 2
References
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Phone Number 1
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Name 2
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Phone Number 2
Email Address 2
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Poland
Portugal
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Romania
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Rwanda
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Slovenia
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Somalia
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Spain
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Switzerland
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Tanzania
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Tokelau
Tonga
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Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
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Ukraine
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Uruguay
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Vanuatu
Vatican City
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Viet Nam
Virgin Islands ( British )
Virgin Islands
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Yemen
Zambia
Zimbabwe
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Billing Information
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos ( Keeling ) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Côte d ' Ivoire
Croatia ( Hrvatska )
Cuba
Cyprus
Czech Republic
Congo ( DRC )
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands ( Islas Malvinas )
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Samoa
San Marino
São Tomé and Prìncipe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Kitts and Nevis
St. Lucia
St. Pierre and Miquelon
St. Vincent and the Grenadines
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Viet Nam
Virgin Islands ( British )
Virgin Islands
Wallis and Futuna
Yemen
Zambia
Zimbabwe
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Billing City
Billing State
Billing Postal Code
GISC Membership
Are you a GISC Member?
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Enjoy the Benefits of Membership
1 year GISC Membership—$125 USD
Support the work of GISC and enjoy these benefits when you become a member: complimentary subscription to the Gestalt Review ($65 value), $50 off most programs, and member prices on books and GISC merchandise. All memberships are valid for one year from start date.
Membership Selection
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Add-on: 1 Year Membership - $125
Add-on: Auto-Renew Annual Membership - $125 annually
No Membership
Program Selection
Member Pricing: Select program(s) then enter registration details.
Competency Development Program for Coach Certification - Member Price $200
Non-Member Pricing: Select program(s) then enter registration details.
Competency Development Program for Coach Certification - $250
Course Date Selection
Competency Development Program for Coach Certification
: Program Dates
CDPCC Online Program (May 2024)
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Registration Fees
$
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Engage With Us
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Yes, I would like to receive communications regarding the following program areas:
Coaching
Clinical Psychotherapy
Consulting
Leadership
Personal Development
General Programs & GISC News
Attendance and Cancellation Policies
Cancellation Policy:
Please
click here
to view our Enrollment Agreement which details our cancellation and refund policy as according to the Massachusetts Department of Occupational Licensure.
I have viewed CDPCC's Enrollment Agreement and agree with the terms of the cancellation/refund policy.
Attendance Policy:
Because CDPCC is a certification program, it's important that participants attend all classroom sessions. If you have an emergency that prevents you from attending any portion of the program, please reach out to GISC faculty or staff as soon as possible so that we can do our best to make adjustments. For our full Attendance Policy please view our Enrollment Agreement
here
.
I have read and agree to GISC's Attendance Policy.
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