Community Coaching Certification (CCC)

Community Coaching Certification (CCC)

Scholarship Application

Leadership That Works is committed to expanding the reach and accessibility of coaching to reach the 7 billion. To support this effort we are offering a limited number of scholarships. Our preference is to support teams (of 2 or more) that are interested in building coaching skills to enhance their work in vulnerable communities. This year we are focusing our scholarships to support future community coaches working with and on behalf of the following populations:

·  LGBTQ

·  Educators (K-12)

·  Next Generation Leaders

·  Organizers

We will also accept applications from individuals but will give preference to team applications.

We recognize that even with competitive rates, many people require financial assistance to attend. With that in mind, please thoughtfully consider your financial aid request and ask only for what you need. Your mindful request allows us to serve those with the greatest financial need in our global community and to develop a diverse student body that enriches the learning experience for all. Scholarships are based on a) financial need b) potential to reach diverse communities and c) impact.

Participant 1: Name ______Email ______

Address ______City ______State ______Zip ______

Phone ______

Participant 2: Name ______Email ______

Address ______City ______State ______Zip ______

Phone ______

Participant 3: Name ______Email ______

Address ______City ______State ______Zip ______

Phone ______

Today’s Date: ______

Course name and Start Date ______

Please answer the following questions as succinctly as possible (one - two pages):

a)  Describe your financial situation (include annual individual, organizational or business income for current and previous year, or special circumstances). Indicate other sources of funding you have explored (employer subsidy, sponsors, personal loans, grants, etc.).

What potential do you have to reach our target communities, LGBTQ, Educators, Next Generation Leaders or Organizers? Describe your experience serving/working with diverse communities or developing nations.

b)  What is your potential impact? How will you make a difference in the world through coaching? Describe any experience in social change, facilitation, training, teaching or a helping profession (counselor, coach, therapist). Please share your goals and specific examples.

c)  We have a limited pool of funds for scholarships and in general offer $500 off the cost of the CCC program ($4,495). Please tell us the minimum scholarship you need so that we maximize the number of people who can benefit from financial aid.

Thanks! Please return your completed application to

www.LeadershipthatWorks.com PO Box 224, Troy, PA 16947 570-297-3333