Gina Marks Coaching

Fellowship Application

This application helps to determine whether the fellowship is a mutual fit. Please answer thoughtfully and honestly.

First name

Last name

Phone

For what purpose are you seeking coaching support (of the options listed in the criteria)?

What type of impact do you wish to have through the achievement of your goal?

Please check all that apply to indicate your understanding of terms:

I am seeking coaching support for a purpose-driven goal.

It's important to me to make a meaningful contribution to the world in my specific way.

I am ready for change and will be a collaborative, active participant in the process.

I understand I will need to complete the required homework materials before starting the program.

The full cost of coaching would create a personal, financial hardship for me.

Why is now the best time to take action?

Is there anything else you would like to share?