Coaching Application...

I am interested in:

Life Coaching (For individuals and college students.)

Entrepreneurial Coaching

Executive Coaching

Performance Coaching for Athletes

First Name: Last Name:

Email:

Phone:

Be sure to scroll all the way through this form and fill out any areas specific to your interests!

Briefly describe your primary reasons for seeking a coach and list any goals you'd like to accomplish through this process:

I have read Dynamic Components of Personal Power:

I met Jim at a Dynamic Components event:

If you've met Jim, please tell us where and when:

When would you like to start?

Now!  1 to 3 months   3 to 6 months

For Entrepreneurs:

How big is your enterprise? Just ME!  2 to 10 Employees  11 or more

Please describe your business including products or services:

For Executives & Managers:

Please describe your position and responsibilities:

This form is just a brief introduction telling me about your interests. I'll be calling to discuss exactly where you are now and where you want to go in the future.

Best thoughts!

Jim