Discipleship Coaching Application Name(Required) First Last Company Name (if any)Date(Required) MM slash DD slash YYYY MAILING ADDRESS:Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands CONTACT INFO:Preferred Contact Method Phone Text Email Mobile Phone(Required)Primary Phone(Required)Secondary PhoneEmail(Required) LINKEDIN URL: (if applicable)LinkedInREFERRAL INFORMATION:Which Winslow Consultant referred you? If no one, enter “None.”(Required)DOCUMENT UPLOAD:Please upload your resumé and any other relevant documentation that you feel should be considered in your application.Upload File(s)(Required) Drop files here or Select files Max. file size: 256 MB, Max. files: 5. Please write a note in the space below describing the additional interests and skills you may have that could contribute to your success as a Winslow Coach. Your note should also include the following points and other relevant information as you see fit: Explain your desire to become a Winslow Coach Let us know when you are available to start Describe any valuable qualities or experiences you have had that didn't appear on your resumé If there are gaps in your employment history, please explain them Describe those particular skills and/or credentials which could aid you in performing as a coach Please describe any concerns you may have about becoming a Winslow Authorized Coach Your Note:(Required)Note: If you have taken a Winslow profile within the past two years, and have access to a PDF copy, upload the file below. If you don't have a copy, please contact us. If we can locate your report, it may result in a significant discount toward your application fee. Drop files here or Select files Max. file size: 256 MB. TERMS AND CONDITIONS:Consent(Required) I understand that I am remitting a one-time application fee of $395.00 to Winslow Research and Development Institute LLC (WRDI) for the purpose of taking a Winslow Assessment, and to evaluate my suitability as a Winslow Coach. This application and payment does not guarantee that I will become a Coach with WRDI.(Required)Consent(Required) I understand that should I be accepted to this program, I will be required to take Winslow University Courses #1 and #3 of the Foundations Training Series at the prevailing fees.(Required) Click here to see the Winslow University Course information and fees: Winslow University Course List Consent(Required) I understand that should I be accepted to this program, I will be required to sign an Authorized Coach Agreement. Click here to review a draft of the Authorized Coach Agreement: Authorized Coach Agreement-Draft If accepted, I would like to obtain a @winslowsolutions.com email account (free of charge)Yes no email(Required) Yes No Consent(Required) I agree to the privacy policy.View the Terms and ConditionsI have uploaded a recent copy of my Winslow Report(Required) No Yes Total *When you click "Submit" below, you will be redirected to our payment processing system in order to complete your payment.EmailThis field is for validation purposes and should be left unchanged.
