Reveal^© Application Form

We at E.P.I.C. strive to provide all participants with an elite, executive coaching mentorship program and experience. It is critical that we screen for the best culture fit as well as discover if we are the best fit for you. This is why we created Reveal^©, our application program. This application form will be the start to this discovery and to help ensure the viability of maximum success as we look to partner with dynamic participants for our 1.0 Training Program. Consider this our first glimpse and insight to what you want us to know about you. The personal and professional you. The past, present and future you. We look forward to connecting with you and starting the dialogue.

Name(Required)

First Last

Phone(Required)

Email(Required)

Educational Background

Have you earned a higher degree?(Required)

Yes

Higher Degree:(Required)

University:(Required)

Year Obtained:(Required)

Have you had Coach Specific Education and/or Training?(Required)

Yes

Year Obtained(Required)

Other Certifications/Trainings:

Describe your work history and experience you've had in a few short sentences:(Required)

What prior education have you had in leadership development, professional development, neuro-science, and consulting?(Required)

What would you say have been your 3 greatest accomplishments to date?(Required)

What is the hardest thing in your life that you have had to overcome?(Required)

What major transitions have you had in the past two years? (Example: Entering or approaching a different age, a new or different relationship, job, role, residence; A change in children's ages/stages, etc.)(Required)

If you could go back, what would you have done differently (if anything)?(Required)

On a scale of 1-10 (with 10 being most skilled) how would you rate your attributes on the following:

Calm under pressure during stressful scenarios(Required)

Please enter a number from 1 to 10.

Openness to receiving constructive feedback in a professional environment(Required)

Please enter a number from 1 to 10.

Ability to quickly pivot and adapt in a workplace landscape(Required)

Please enter a number from 1 to 10.

Willingness for continuous growth both personally and professionally(Required)

Please enter a number from 1 to 10.

Have you worked with a coach before?(Required)

Yes

If yes, please describe what kind of a coach you worked with, what you were working on, and when you worked with them.(Required)

What motivates and inspires you?(Required)

What kills your motivation?(Required)

Please list your greatest strengths and weaknesses

Strengths(Required)

Weaknesses(Required)

What about executive coaching intrigues or inspires you?(Required)

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Reveal^© Application Form

Educational Background

On a scale of 1-10 (with 10 being most skilled) how would you rate your attributes on the following:

Please list your greatest strengths and weaknesses

Get In Touch

Additional Resources

About Us

Reveal© Application Form

Educational Background

On a scale of 1-10 (with 10 being most skilled) how would you rate your attributes on the following:

Please list your greatest strengths and weaknesses

Get In Touch

Additional Resources

About Us

Reveal^© Application Form