| First Name: |
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Last Name: |
* |
| Residential Address: |
* |
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| Suburb/City: |
* |
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| State: |
* |
Postcode: |
* |
Postal Address:
(if different to above) |
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| Suburb/City: |
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| State: |
| Postcode: |
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| Country: |
* |
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| Telephone (BH): |
* |
Telephone (AH): |
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| Mobile: |
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Email: |
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| Date of Birth: |
* |
Gender: |
Male
Female* |
| Occupation: |
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Years in Occupation: |
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| Highest Level of Education Completed: |
*
(ie School Level (grade
10, 12 etc) Certificate, Diploma, Degree) |
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| My Qualifications Are: |
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| Name of friend or near relative
not living at your address: |
* |
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| Their Residential Address: |
* |
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| Suburb/City: |
* |
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| State: |
* |
Postcode: |
* |
| Country: |
* |
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| Telephone (BH): |
* |
Telephone (AH): |
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| If you are applying to Centrelink
for Austudy, Abstudy, Youth Allowance or PES please
indicate your required workload. |
|
Full Time
Part Time 50%
Part Time 25% |
| Do you require assistance with language,
literacy, or numeracy?
Yes
No* |
| If you have a disability or special
need, will you require additional learning support?
Yes
No |
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| Your reasons for
applying for this course? |
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For Self Interest |
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To set up a coaching practice |
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To assist in my current occupation |
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To seek employment |
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| How did you hear
about the institute?* |
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Search Engine |
Which one? |
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Online Education or Course Directory
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Which one? |
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Online Telephone or Business Directory
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Which one? |
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Affiliate Website
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Which one? |
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Other - Where? |
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| Please select
your Course and preferred Specialty Streams |
|
Certificate IV in Life Coaching |
Diploma of Life Coaching |
| with optional Specialty stream(s)
in: |
please choose your Specialty Stream(s)
(you must choose at least one): |
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Certificate
IV in Life Coaching |
| Payment
Options |
Certificate
IV |
with
1 Stream* |
with
2 Streams* |
with
3 Streams* |
| Reduced Upfront Payment |
$2,950
(save
$470) |
$3,445
(save
$830) |
$3,940
(save
$905) |
$4,435
(save
$980) |
| Distributed Monthly Payment |
$285 x 12 |
$285 x 15 |
$285 x 17 |
$285 x 19 |
|
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 |
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Diploma
of Life Coaching |
| Payment
Options |
includes
1 Stream |
with
1 extra Stream* |
with
2 extra Streams* |
with
3 extra Streams* |
| Reduced Upfront Payment |
$4,950
(save
$825) |
$5,445
(save
$1155) |
$5,940
(save
$1210) |
$6,435
(save
$1265) |
| Distributed Monthly Payment |
$275 x 21 |
$275 x 24 |
$275 x 26 |
$275 x 28 |
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| * Investment indicated for Specialty
Streams includes GST.
The practical elements can be completed by
attending a series of two-day Skill
Assessment Workshops (3 workshops
for the Certificate IV and 6 workshops for
the Diploma), a Private Coach Assessment or
by submitting a Video or DVD demonstrating
your skills. The nominal fee for each Skill
Assessment Workshop or submission
of a Video or DVD is $160. The nominal
fee for a Private Coach Assessment is
$10 plus a coach's negotiated fee.
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