Required fields*

Personal Details
First Name: * Last Name: *
Residential Address: *    
Suburb/City: *    
State: * Postcode: *

Postal Address:

(if different to above)

   
Suburb/City:    
State: Postcode:
Country: *    
Telephone (BH): * Telephone (AH):
Mobile: Email:
Date of Birth: * Gender: Male Female*
Occupation: Years in Occupation:
Highest Level of Education Completed:

*
(ie School Level (grade 10, 12 etc) Certificate, Diploma, Degree)

   
My Qualifications Are:  
Name of friend or near relative not living at your address: *  
Their Residential Address: *  
Suburb/City: *    
State: * Postcode: *
Country: *    
Telephone (BH): * Telephone (AH):
 
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
 
Your reasons for applying for this course?
For Self Interest    
To set up a coaching practice    
To assist in my current occupation    
To seek employment    
     
How did you hear about the institute?*
Search Engine Which one?
Online Education or Course Directory
Which one?
Online Telephone or Business Directory
Which one?
Affiliate Website
Which one?
Other - Where?    
 
Please select your Course and preferred Specialty Streams
Certificate IV in Life Coaching Diploma of Life Coaching
with optional Specialty Stream(s) in: with optional Sprecialty Streams(s) in:
Executive Coaching Health & Wellness
Business Coaching Career Coaching
Workplace Coaching Life Cycle Coaching
Executive Coaching Health & Wellness
Business Coaching Career Coaching
Workplace Coaching Life Cycle Coaching
       
 
Certificate IV in Life Coaching
Payment Options Certificate IV with 1 Stream* with 2 Streams* with 3 Streams*
Reduced Upfront Payment $3,450
(save $698)
$4,085
(save $1150)
$4,680
(save $1253)
$5,275
(save $1356)
Distributed Monthly Payment $349 x 12 $349 x 15 $349 x 17 $349 x 19
 
Diploma of Life Coaching
Payment Options Diploma with 1 Stream* with 2 Streams* with 3 Streams*
Reduced Upfront Payment $5,990
(save $1339)
$6,585
(save $1791)
$7,180
(save $1894)
$7,775
(save $1997)
Distributed Monthly Payment $349 x 21 $349 x 24 $349 x 26 $349 x 28

 
* 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 $190. The nominal fee for a Private Coach Assessment is $20 plus a coach's negotiated fee.