This form is for coaches renewing their ACC or PCC. This information helps me understand where you are at in your credentialing journey so I can best meet your needs through a mentoring relationship.

Name *

First Name

Last Name

Preferred pronouns or way of being addressed or referred to: *

Email *

In which Group Mentoring cohort are you hoping to participate? *

Which credential are you renewing? *

ACC

PCC

By what date would you like to submit your application to the ICF? *

Note that mentor coaching must span at least 3 full calendar months

YYYY

What coaching school(s) or training programs have you attended? *

When did you COMPLETE coach training? *

Approximates are great!

YYYY

When did you achieve or last renew your credential? *

Approximates are great!

YYYY

How many hours of coaching have you delivered? *

Less than 50

101-150

151-250

251-500

500+

Do you currently have permission to record client calls?

Yes

If you answered No, what support do you need to be able to record client calls in order to submit them for review and discussion?

Is there anything else you'd like me to know about you in relation to this group mentoring cohort experience?

Because you don't need to submit a new recording(s) for your renewal, how would you like to use your 3 x 1:1 coaching sessions?

Select all that seem interesting to you

I'd like to share recordings and have them reviewed by Jilly and then discuss

I'd like to receive straight-up coaching from Jilly

I'd like support from Jilly to workshop ways of being in my coaching practice

I'd like to bring challenges I'm facing with my clients or my coaching practice into discussion with Jilly

Something else

Thank you for your interest in mentor coaching! I will review your information and will be in touch within 3 business days with next steps, which will include:

Setting up a 30-minute conversation to meet each other (if we haven’t already!), ensure we both feel alignment and to answer any questions you might have
Completing a self-assessment to identify where you are shining and confident and perhaps needing to stretch in demonstrating the Core Competencies

Reviewing and agreeing to both group behavioural agreements and a personal commitment to the learning process, which will require approximately 1-2 hours per week during the program
Reviewing and signing a service/coaching agreement and establishing payment, which will be invoiced in four equal parts monthly beginning on the first group session date
Scheduling your 3 x 1:1 sessions with me

If you need to reach me in the meantime, please send me a note at hello@jillyhyndman.com.

Thank you, and I’m looking forward to our time together!

Jilly

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Thank you!

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Jilly Hyndman CPCC PCC | the heartrageous coach, Victoria, BC Canada

I strive to be an ally to all who experience oppression: to create safe, welcoming spaces; to be trauma-informed; to continually learn more inclusive ways of being; to check my assumptions, expose my biases and acknowledge my privileges; to do my own work and to be open to feedback about how I show up; and to unlearn oppressive ways of being.

I acknowledge with deep gratitude and respect that I am privileged to live, work, and play as an uninvited guest on the unceded ancestral lands of the Lək̓ʷəŋən (Esquimalt (sqwulmaithuth) and Songhees) and W̲SÁNEĆ (Tsawout (SȾÁ,UTW̱), Tsartlip (W̱JOȽEȽP), Pauquachin (BOḰEĆEN) and Tseycum (W̱SÍḴEM) First Peoples, known in these colonial times as Victoria, BC Canada. I invite you to search your own address and connect to the land you are on, as a small step toward reconciliation and shared healing. A portion of my earnings each year are donated to Indigenous-led and Indigenous-supporting organizations.