Become a Bosspreneur® Premier Coach and receive: Bosspreneur Coach profile on BBC website Special Bosspreneur Coach emblem for use on website and marketing materials Two (2) group coaching sessions with Becky during the year Picture, name and coaching specialty featured in Conference Program Guide One (1) registration for the International Conference & Business Expo, including Pre-Conference Bonusevents Quarterly featured articles on the BBC blog, written by you! Blog articles promoted and showcased onBBC Facebook page and Twitter Spotlighted on main stage jumbo screens at the International Conference Personal endorsement group email from Becky to the BBC database Introductory video on your Bosspreneur Coach profile page Preferential opportunity to be featured in the Bosspreneur Academy online courses Special Meet-and-Greet at Conference for speakers, coaches, and chapter directors If you are accepted as a Bosspreneur Coach for the Bosspreneur Business Circle you will be required to pay an annual marketing and promotion fee. The fee is $797 for members and $997 for non-members.Coach ApplicationIf you would like to be considered for one of our Bosspreneur® Coach positions, please complete the following application.Name* First Last Company*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email* Website Facebook URLTwitter HandleAre you currently a member of Bosspreneur Business Circle?*Yes, I am an active BBC memberNo, I am not currently a member of BBCNo, not currently but I was a former memberNo, but I plan to become a memberNoOther(Note: you are not required to be a member of BBC)Please Specify:What Chapter city do you currently attend?3. Please list any coaching certifications from accredited coaching organizations or universities:*Have you performed at least 200 hours of coaching for clients?*Yes, I have performed 200 hours or more coaching clientsNo, I have not yet completed 200 hours coaching clientsTell us about your background and your coaching experience:*Do you have an area or coaching niche that you specialize in?*YesNoPlease explain your area of coaching specialization:Please provide a brief explanation for why you want to be considered as a Bosspreneur® Coach:*What percentage (%) increase in new coaching business would you like to see?*I can handle a 100% increase in new coaching business75% increase50% increase25% increaseOtherPlease explain:Please check all that apply to you below:* I currently offer 1 free initial coaching session I currently offer 2 free initial coaching sessions I do not offer any free coach sessions Did someone recommend you to become a Bosspreneur® Coach?*YesNoIf yes, please provide their name:ReferencesPlease provide three (3)speaker client references in the last 12 months:Name* First Last Address* City State / Province / Region Email* Phone*Name* First Last Address* City State / Province / Region Email* Phone*Name* First Last Address* City State / Province / Region Email* Phone*
