Thank you for your interest in pursuing a credential with the International Christian Coaching Institute (ICCI). Please complete all requested information in all sections or mark "N/A" if not applicable. You may save your work and resume the process at a later time, but please note that uploads will not be saved.

ICCI will not disclose the confidential information given in this application to a third party without your express, written consent. Please allow 1-3 weeks for processing.

Demographics

This information will update your profile information.

Education/Training in Christian Life Coaching

• I Agree

Bachelor's Degree in Psychology specializing in Christian Counseling, and a Master's Degree in Human Services specializing in Leadership Development and Discipleship from Liberty University.
I have completed the ICCI course "From COunseling to Coaching"

• ICCI-Transcripts.pdf
• ICCI-CounselorToCoach-S2-M1.pdf
• ICCI-Certificate-Christian-Life-coaching-foundations-1.pdf

Mentoring in Christian Life Coaching

• I Agree

Field Experience in Christian Life Coaching

• I Agree

I have lead and currently coach groups of men for the last 3 years. I am coaching them to be the man God has created and called them to be. I also coach groups of men in 10-week group coaching sessions to be the Husbands, Dads, and Godly men their families need for them to be. I do about 3 groups per year, as well as train leaders to form and lead their own groups of men.

Other Professional Credentialing or Certification

Spiritual Orientation and Practice

Please define/describe your thoughts and beliefs on the following questions.

Jesus Christ is God manifested in the flesh as the Son of God, the 2nd person of the Holy Trinity. Born of Mary by the Holy Spirit He is fully God yet fully man.

A person becomes a Christian by realizing his separation from God and believing that Jesus willingly surrendered His life to be crucified for the atonement of the sins of the world. In believing and surrendering his life to Christ, Christ's righteousness is imputed to the believer for his salvation.

The Bible is the inerrant Word of God. Written by the inspiration and guidance of the Holy Spirit, given to prophets and the apostles now complete and closed.

The Holy Spirit is the 3rd Person of the Holy Trinity who came to us as our comforter after Jesus ascended to heaven after His resurrection. He is our guide and our teacher revealing to us the truths of the Word of God, teaching us the things of God. He leads us and gives us insight and wisdom as to God's will in our lives. He also gives us strength and power to do the will of God as He reveals it to us.

I came to know Jesus Christ as my Lord and Savior in August of 1974. I was 19 years old and on a surfing trip to California. I was a dope-smoking surfer, with long sun-bleached hair and I lived, breathed, ate, and slept for surfing. It was my God and consequently, I was very empty. I was looking for peace in my soul and I could not find it. Anywhere. That summer, 7 of my best friends and I stacked 9 surfboards on top of a 1968 VW van and loaded up and drove cross country to California for surf. We camped out in San Onofre State Beach just south of LA for 3 months surfing every day we could. Finally, in mid-August, we packed up to head back home to Jacksonville Florida. On our way, we decided to stop in Yosemite National Forest for a couple of days. We stayed there in the campground for 2 weeks. On the day before we left for home, 3 of us went to the campground community store. There, a guy I'd never seen nor met before came up and started sharing the Gospel with us. My other 2 friends were giving him some grief but I was locked in listening. He spoke for about 3-4 minutes and then he left. But before he left, he challenged us to surrender to God and to ask Christ to come to our lives. Then He left. 10 minutes later I found myself alone on a path (much like my life) and I did just what he challenged and I surrendered my life to Jesus and asked Him into my life. That was 49 years ago. Here I am today. Praise Jesus and Glory to God! I now serve at my church on the CARE team. In my spiritual journey I've had many failures but those are what taught me the most about God and how to be the Man made in His image, Imago Dae the man He made me to be and live for Him.

I have been coaching men in para-church organizations as well as in the local church for most of my Christian life, (almost 50 years). Specifically, in the last 3 years I have been coaching men in group coaching sessions, focusing on the men becoming the men God has called them to be. I lead a 2-3 10-week coaching series per year, coaching, training, and teaching men how to be the husbands, Dads and Disciples God has designed them to be and called us to be. I am also coaching men weekly for 2-3 hours per week on spiritual transformation and the renewal of our minds.

ICCI Applicant Attestation

Note: The following statements require your attestation (affirming each one to be true to the best of your knowledge). Please be sure to respond to each and every section regarding yourself and your Life Coaching practice or ministry.

The foundation to all work and identity as a Christian Life Coach is a living, vibrant, and personal relationship with Jesus Christ. The following statements require your attestation (affirming each one to be true to the best of your knowledge). Please be sure to review each and every section that directly pertains to you and your professional life coaching, and/or ministerial work. The information it contains is important and will be referenced in the Application Form. Depending on your responses, additional information may be required in order to process your Application. 

SECTION A: Christian Personal Testimony

SECTION B: Christian Coaching Testimony (Required)

The practice of Christian Life Coaching genuinely incorporates scriptural truths, biblical principles and guidance, and a Christian value system into one’s coaching/ministerial practice, theoretical orientation, and professional life. ICCI is dedicated to credentialing Christian Life Coaches, not simply people and lay helpers who happen to be Christian, but do not incorporate their faith into practice. Please respond to the following items by checking the appropriate box: (Required)

SECTION C: Ethical Integrity (Required)

Each applicant must demonstrate and maintain ethical integrity in all Life Coaching, ministerial, and professionally related activities. Please note that a Yes answer to any of the following questions will not necessarily disqualify you for the credential you are seeking. If the case has been properly remedied and/or disposed of, and you are under no current ethical complaint or investigation, then the application process can proceed. Please respond to the following items by checking the appropriate box:

In 1986 I got a DUI. That was one of the mistakes I made that was a valuable learning experience in my Christian journey. nHis grace have repented of such actions and have received God's forgiveness.

• I Agree

ICCI Applicant Agreement

CERTIFICATION

Applicants certify all information in the Application Packet is true and complete, and understand they have the burden of producing all information necessary for ICCI to fairly and fully evaluate their qualifications, background, ethics, and Christian character in order to be considered for one of the ICCI credentials. They agree to inform ICCI of any changes in this information. Misstatements or omissions from the Application may be cause for denial of appointment or reappointment of the credential. Applicants further agree that any subsequent adverse information about them and/or their practice may be cause for disciplinary action – including the possibility of having the credential suspended or revoked.

AUTHORIZATION

Applicants authorize and give the ICCI consent to contact and, without restriction, discuss any issues pertaining to their character and qualifications with individuals submitting recommendation forms or providing mentoring services. Consent is given for the release of all information, records, and documents, by whatever means the ICCI chooses to collect this data, and to assist them in the good-faith evaluation of their Application. If a question arises in the future about their character and qualifications to the credential, they agree to assist the ICCI in its efforts to resolve any questions it may have.

INDEMNIFICATION

Applicants release from any and all liability ICCI, Hope Together Network, LLC, Hope for the Heart, JAWS, LLC, and any individual officers, directors, employees, or agents of these organizations for any and all acts done in good faith and without malice or intent to harm in connection with the evaluation of their Application for an ICCI credential.

DISPUTE RESOLUTION

If a dispute arises between the applicant and ICCI regarding the application or any future matter, applicants agree to engage in dispute resolution that (1) first attempts direct negotiation; (2) then attempts mediation with a mediator acceptable to both parties; (3) then uses arbitration and binding arbitration to resolve the matter, which mediation/arbitration shall take place in Dallas, Texas.

CREDENTIAL RESOLUTION

Applicants resolve to support the mission and goals of the ICCI and further agree to abide by and fully adhere to the ICCI Doctrinal Statement. They have not hidden, nor omitted any necessary information related to receiving the credential. If they qualify, they will hold their ICCI credential in the highest regard, honor the calling of God in Christian Life Coaching, and maintain both excellence and an ethical stance as a servant-leader in the field. Furthermore, they will strive to avoid all behavior that compromises the name of Christ, the cause of Christian Life Coaching, and the purposes of the ICCI.

Applicants acknowledge they have read, discussed as needed, and fully understand this Agreement. They acknowledge that by signing the formal Application Form, they do hereby agree with all consent and authorization statements that are described herein.

• I Agree

Credential Requirements

Basic Requirements

Continuing Education Requirements

All ICCI credential holders are required to obtain 15 CONTACT HOURS of Continuing Education on an annual basis and these hours must incorporate biblical principles and coaching skills with theory, knowledge, and practice.

Continuing Education is a term that applies to obtaining contact hours across a broad range of post-secondary (beyond high school) learning activities and programs. Some examples include degree credit courses, non-degree career training, self-directed learning, experiential learning, seminars, symposiums, workshops, conference presentations, and classroom lectures. The method and format of delivery may be face-to-face, distance/online learning, printed texts/workbooks, the use of videotaped materials, etc.

ICCI approved Continuing Education and competency activities can occur in the following categories:

Category #1: Continuing Education activities that the credential holder ENGAGES in as a RECIPIENT

NOTE: A minimum of ten (10) contact hours of the required total number of hours must be from Category #1

• Formally organized learning (college/university courses, workshops, seminars, professional or ministerial conferences, presentations, home study, etc.). The delivery of content may be either face-to-face or electronic (e.g., CD, DVD, computer, Web-based, etc.)
• Training experiences at churches or other Christian organizations that resulted in a certificate of completion or other verifiable documentation of participation
• Publications (e.g., journals, magazines, etc.) that have a CE component and a process providing verification of completion
• Coaching supervision and/or consultation that is received and documented

Category #2: Continuing Education activities that the credential holder PROVIDES as a FACILITATOR

• Facilitating, training or presenting at an organized conference/seminar/class that incorporates biblical principles and life coaching skills with theory, knowledge, and practice (the same presentation may only be used once in a renewal period)
• Teaching a post-secondary class that incorporates biblical principles and life coaching skills with theory, knowledge, and practice (the same course may only be used once in a renewal period)
• Producing new training materials and/or curriculum that incorporates biblical principles and coaching skills with theory, knowledge, and practice
• Publishing (a book, book chapter, journal/magazine article, etc.)

Acceptable Forms of Documentation for Continuing Education activities:

• Certificates of Completion
• CE letters or other forms documenting participation
• Official transcripts and/or diplomas
• Reprints of published articles, book chapters, training materials, etc.
• Proof of presentations that were given and/or courses that were taught
• Formal letters from supervisors and/or consultants

• I Agree

References

Processing your application begins when all references are received. Please alert your references to watch for emails from ICCI requesting their reference for your credential approval. White-listing our email address ([email protected]) will ensure emails arrive in inboxes rather than spam/junk folders

Sign and Send

• I Agree

I affirm and attest by my electronic signature below that I have answered all questions in this Application truthfully and have done so to the best of my knowledge and with full disclosure. I further authorize ICCI to verify this information and understand that in the process of verification, these facts might become known to third parties. I expressively waive any claim to confidentiality of the material enclosed in this Application except where otherwise noted.