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A collaborative partner in your success
Momentum in what matters most to you
Strategic planning and an accountability structure to support your goals

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Life, Leadership, Team and Business Coaching

Become A Member

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Note: If any error messages appear when you press the Submit button, you wil need to fix them and press the Submit button again. No information will be submitted until the form below is filled out correctly and with information in the required fields.

Member Information

*First Name:

*Last Name:

*Mailing Address:

*City:

*State/ZIP:

Home Phone: (xxx) xxx-xxxx ( ) -

*Business Phone: (xxx) xxx-xxxx ( ) -

Cell Phone: (xxx) xxx-xxxx ( ) -

FAX: (xxx) xxx-xxxx ( ) -

Coaching training:

Where did you hear about NBC?

ICF credential:

*I am currently an ICF member:

Yes #

This information to the right will enable you to log in to your profile anytime and make any changes and updates that you desire. Please keep this information in a safe place. Remember, the User Name and Password are case-sensitive and cannot contain spaces.

Please note that you will not be able to log in as a member until your application is approved and your fee is marked as paid.

User Name

Password

Verify Password

Primary Profile Search Criteria

Keywords:

Coach Type:

	life/personal
	small business/entrepreneurs
	career

	executive/leadership
	team/organizational development

Specialty:

	ADD/ADHD
	communications
	creativity
	energy healing
	family-owned businesses
	financial
	gay/lesbian
	men
	midlife
	multilingual
	new coach mentoring
	parents
	productivity

	professional development
	relationship (personal)
	relationship (professional)
	retirement
	seniors
	sexuality
	spirituality
	stress reduction
	teens
	time management
	transitions
	women
	young adults

Primary Web Profile

Your membership includes a primary web profile plus an optional secondary profile for those with two separate coaching businesses. The primary web profile features your photograph with captions and a marketing message that can be up to 500 characters (letters and spaces) long. This will be added to the rotating "Featured Coach" on our site, plus be included in your Find a Coach listing. It will link to your primary business email address and to your primary business website (if you specify a website). Primary Profile Display Please note: The information below is not necessary for you to be searchable in the coach database. However, you must fill in all of the fields listed immediately below before you will become one of the rotating Featured Coaches: Display name 1st caption under the picture Marketing Message Picture (JPEG format only): Pre-sized JPEG format photo of yourself. Height and width should not exceed 150 pixels each for maximum visibility. If the photo is larger than this size, it will be resized and there will be some loss in quality. (Note: picture cannot exceed 50 Kbyes [50,000 bytes] in size) . For more information on using pictures, click here.
Primary Business Name:
*Primary Business Phone: (xxx) xxx-xxxx	( ) -
*Primary Business Email Address:
*Primary Business Verify Email :Address
Primary Business Website: http://
*Display Name: (This is how you want your name to appear as a Featured Coach and on the searches on the Find A Coach page. You may use nicknames or suffixes, like "Jr.", "Ph.D", "M.S.", etc.)
1st caption under picture (usually business name, professional title or tagline): (60 character max)	characters left
2nd caption under picture (usually business name, professional title or tagline): (60 character max)	characters left
Marketing Message: (500 characters max) Describe who you work with and how you help them. (See any of the "Featured Coaches" on this site for examples.)
If you'd like to have more than one paragraph, use "<p>" to separate your paragraphs.	characters left

Preview Your Primary Profile

Click "Preview" to preview your primary member profile before submission.

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