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

I have worked as a Board-Certified Chaplain over the last 15 years. Now I am studying to become a Certified Professional Christian Life Coach through ICCI. I have been training in Grief Education through David Kessler and training as a CPCLC over the last 6 months. To date my training in Life Coaching has strictly been through ICCI and Strong Families. I chose Strong Families because I believe that a strong community and society begins with strong families. The one area that Strong Families has provided me the best training in, is through the Connect Assessment. This assessment allows individuals to identify their strengths and their style of communication with others. It also gives tips on how to communicate with those who have different personalities and traits. I believe that one of the best ways to promote peace and harmony is learning how to better communicate with those around you, especially with those within your own family. Therefore, my ministry as a life coach is to work with Christian families (within the church, and Christian organizations). I realize that I am new to Christian Life Coaching, but I believe with my life experiences and my strong faith in Jesus Christ, I have a lot to offer to help other families. My mentoring for Christian Life Coaching has been with Dr. Trent and his daughter Kari Trent-Stageberg.

Mentoring in Christian Life Coaching

• I Agree

Field Experience in Christian Life Coaching

• I Agree

These 83 hours of field experiences have been obtained over the last 5 months. I have worked with families and one-on-one with individuals in providing Connect Assessments and reviewing, in detail how each individual within the family could learn how to communicate better with other members of the family. I have administered and help decipher and implement change within the family environment of 25 individuals through the Connect Assessment. This process has improved the communication within the families of over 100+ family members. I have also gone through the process of helping individuals who have been "stuck" not knowing where to turn, by helping them "Map" their way to a better life. The results have been phenomenal. This was accomplished through using the book published by Dr. John Trent and his daughter Kari Trent Stageberg. "Where Do I Go From Here?" LifeMapping your Way from Personal Chaos to Purposeful Calm. I am glad that God led me to ICCI and Strong Families where I believe that I can not only make a difference in my life and my family but also within the community in which I live.

Other Professional Credentialing or Certification

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• Waidande-M_CertificateBCC.PDF

Spiritual Orientation and Practice

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

I have a very strong personal relationship with Jesus Christ. He is my everything. I love him with all my heart and am so grateful that he died on the cross for all my sins. I believe that he is coming back again. I believe I will meet him in heaven when I die and will spend eternity praising and worshiping him.

A person becomes a Christian by acknowledging that they are sinners and that Jesus died on the Cross for our sins and that we believe in God the Father, God the Son and God the Holy Spirit. We believe that God sent Jesus to bear the sins of the world so that we could live in heaven some day.

I believe that every word of the Bible is the inspired word of God. I believe that the Bible was given to us as the inspired Word of God to provide a map for the way we should live in this world and to provide guidance to us throughout this life time. The Bible has all the information we need to live as Christians in this world.

I believe that the Holy Spirit was sent to us to guide and direct us in all that we do, when Jesus died and went to heaven. I am able to feel the presence of the Holy Spirit as He guides me through this life here on earth.

I was raised in a Christian home. My mother and father were God fearing people. I accepted Christ as my Savior when I was 16 years old. We were taught that miracles were everyday occurrences. When our washing machine stopped working and we did not have money to repair it, my mother prayed over it and it began to work without any problem. I grew up believing that the Holy Spirit was an integral part of our regular existence on this earth. He was a friend that was there to help us. He was also the Master of the Universe and deserved the upmost respect. I have had my trials and failures along the way, but I have always repented and turned to my faith, knowing that God is a loving God and would forgive me through the Blood of Jesus Christ. Today, I am a widow. I know my life here on earth is winding down, but I would like to help others find the peace and love that is available to them through the love of God.

I decided to go into Life Coaching as a method of helping the families that are around me to learn how to communicate with each other better. I believe a lot of the problems seen in families, communities and the world at large are due to not knowing how to communicate. Families continue to be under attack - especially Christian families. In most families, it is just a small 2-degree change that is needed to help families communicate better. When families are communicating at a healthy level, it allows for more peace and harmony. Many times, Christian families are so busy they fail to make time to prayer, reading Scripture and meditation. Just being able to help these families realize that their lives can be so much more peaceful is a joy. In my practice and ministry as a life coach, I incorporate prayer as a must. Each session begins with the request that Holy Spirit be present and lead us in the right direction. I depend highly on the leading of the Holy Spirit. In many situations the Holy Spirit has revealed insights that would not normally be possible without his guidance. Sometimes, the Holy Spirit has prompted me not to speak and to allow Him to work through silence. (I'm also sure this has something to do with my training as a Board-Certified Christian Chaplain). I heavily rely on guidance by the Holy Spirit and also on my mentor.

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:

• 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.