CMI Mission Coach Training 2010:

for Returning & On-field Missionaries and Leaders

Application–Complete, save and send as email attachment to:

What you Need to Do:To apply for the Mission Coach Training 2010 provided through Coaching Mission International (CMI), please fill out the following information, then attach and send it by email to the MCT2010 Registrar at: . The information provided will be used to determine eligibility for participation in this program and will only be used for screening and administrative purposes.

What to Expect:After submission and receipt of the $50 non-refundable application fee, we will send you a confirmation email. A phone or Skype interview will be arranged shortly thereafter. Your references will be contacted. Upon acceptance, we will send you an“Acceptance Letter” by email with all the information you need to be ready to go when the training starts in mid-June. We aim to complete the screening process within two weeks of receiving your application and fee. We look forward to serving you and the nations together!

Instructions: Click in the top left area of each entry field area, then begin typing.

Application Deadline: 5 July 2010*

Start Date:The Orientation Tele-class will be scheduled for the week of 18 July, 2010*

[* - Late application and starting dates will be allowed up until 23 August, but program openings cannot be guaranteed]

Contact Info:
First Name:
Last Name:
Street Address or PO Box: (for mail or shipping purposes)
City:
State/Province:
Zip or PIN code:
Country:
Residence: (City, State and Country – if different)
Telephone – Landline:
Telephone – Cell:
Skype ID:
Preferred Email:
Personal Info:
Marital Status
Children; No. and Ages
Age:
Nationality:
Organizational Affiliation:
Organizational Affiliation: (Current)
Titles/Roles within Organization:
How many years with Org.?
Past organizational affiliations:
Mission Coaching:
What is your understanding of coaching? What has been your personal experience with coaching, receiving and/or providing it to others?
Briefly describe why you want mission coach training, and how you see yourself using coaching both in the near- and long-term?
Mission Experience:
Briefly describe your experience living or working cross-culturally, including missions and non-missions experience, and Indicate how many years altogether.
Briefly describe your experience with developing others in their gifts and callings.
Skills:
List Languages spoken in order of fluency. Check those you could use for coaching. / 1.
2.
3.
Check any of these Assess-ment Tools you have taken and note any related qualifications. / Meyers-Briggs – Are you qualified to administer this assessment? Yes
DiSC - Are you qualified to administer this assessment? Yes
Other: - Are you qualified to administer this assessment? Yes
Other: - Are you qualified to administer this assessment? Yes
Counseling Qualifications? / If yes, briefly describe degrees, certifications, and/or experience:
Other relevant skills:
Check all of the following that apply to you:
Checking or not checking any of the following will not automatically qualify or disqualify your acceptance into this program.
I am or have been a career missionary.
I am not a career missionary but am or have been significantly involved in providing Leadership and/or developmental support to career missionaries.
I have a passion for leadership development, supporting missionaries and empowering others.
I am flexible and willing to learn a coaching methodology that listens and asks rather than instructs and advises.
I have full or part time support that can be applied toward coaching missionaries.
I am willing and able to raise or maintain at least part-time support as a missions coach.
I am reasonably confident that I can recruit my own coaching clients through my sphere of influence in missions.
I am willing to make a two-year commitment to training and at least part-time coaching under CMI’s supervision.
I am able to converse easily in English. (Currently all CMI training is done in English.)
I have access to a reliable broadband internet connection.
I have a Skype ID, or will download and setup a free Skype account before the training begins.
I am committed to grow in application of what I have learned in the CMI Coach Training program, as well as in all that God has from me in my life and calling.
I am willing to abide by CMI’s Values and Code of Ethics as a Coach Trainee. (See
Confiidential References ~Please provide full names, emails and telephone contact info for the following:
Pastor, or Organizational Leader / Name / Title:
Email:
Telephone No.:
Co-worker / Name / Title:
Email:
Telephone No.:
Person who knows you well. / Name / Title:
Email:
Telephone No.:
Methods of Application Submission and Fees Payment:
Application & Training Fees:Application and Training Fees may be paid by check or money order drawn on a U.S. bank, or by debit or credit card on the CMI website using PayPal.Check any of the following to indicate your method of Application submission and fee payment:
Submission Method: I am submitting my application by: (Select one)
Email– as an attachment~ Postal Mail ~ Other: (Describe)
Payment Method: (for $50 non-refundable application fee)
by Personal Check, or Money Order made out to: “Coaching Mission International”, and sent to:
Attn: Accounting ~ 6820 Old State, Rt. 42 ~ South Charleston, OH45368USA
by PayPal: Go to and follow the “Fees Payment” instructions.
Training Fees:Training fees will be due upon receipt of an “Acceptance Letter” and should be received by Postal Mail or PayPal (as described above) by 12 July 2010, unless otherwise arranged. Further detailsand options will be in the “Acceptance Letter”.
Material Fees: Books and Materials are to be ordered and paid through Further details will be provided in the “Acceptance Letter”.

I first learned about CMI and the Mission Coach Training 2010through: (Check one)

Leader ~ Friend ~CMI Newsletter ~ CMI Website~ RCN Newsletter ~ My Organization ~

Other:

I have read and understand to my satisfaction the program, requirements and expectations of the CMI Mission Coach Training 2010.

Name/signature (If filling out online, TYPE in your full name.) Date (day/month/year)

PLEASE ATTACH PHOTO:(either of you, or of you and your family. This may be sent by email in .jpg format.)

| p. 1 |Coaching Mission International | 719.359.8260 | 20100527ver