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

Christian Life Coaching Foundations I, II, and III from ICCI

• ICCI-Foundations-III-Certificate.pdf
• ICCI-Foundations-II-Certificate.pdf
• ICCI-Foundations-I-Certificate.pdf

Mentoring in Christian Life Coaching

• I Agree

Field Experience in Christian Life Coaching

• I Agree

Since 2016, I have been practicing as a coach through my church - Church of The King, located in Mandeville, Louisiana. The primary focus has been in marriage coaching, but also relational men's coaching both in group and individual coaching.

Other Professional Credentialing or Certification

Spiritual Orientation and Practice

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

Jesus Christ is my personal Lord and Savior. He died for my sins, shed his blood on the cross so I am forgiven, suffered bodily for my healing, was buried and resurrected so that I can have life eternal with him. Jesus Christ is perfect and the one that I follow and imitate in order to become more like him.

A person must invite Jesus into their life as their personal Lord and Savior and believe on him as the only way to eternal life and relationship with the Father.

The Bible is the word of God, written by men who were inspired by the Holy Spirit. It is perfect and inerrant, worthy for reproof and correction. It is the manna from heaven which we feed on daily to help sustain our life with Christ.

The Holy Spirit is the third person of the Trinity (Father, Son, and Holy Spirit) who came to the earth after Jesus' ascension to the Father. The Holy Spirit convicts us of sin and righteousness and leads us into all truth. I listen to the Holy Spirit daily to receive instruction, guidance and to obey. The Holy Spirit is always communicating, and it is up to me to attune to him, listen, and obey.

I accepted Jesus Christ as my personal Lord and Savior when I was 12 years old, was baptized, and since have been a Christian and follower of Christ.

As a child, I attended Church of the Nazarene and when I was 19 years old I switched to a charismatic church while living in Salem, Oregon. Since then I have attended two other more charismatic churches and now am attending Church of The King in Mandeville, Louisiana, pastored by Steve Robinson. My wife and I attend church on a weekly basis.

On a daily basis, I am faithful to studying Scripture, prayer, meditation, and using the SOAP method for journaling. I also keep a gratitude journal as part of my journaling. On an infrequent basis, I practice fasting and prayer and also at times practice solitude. Worship is a crucial part of my walk with Jesus, while at church, in our home, and in our cars.

My wife and I started attending Church of The King in 2004. We led the DivorceCare program at church from 2010-2018. In 2016, we started working with couples in a coaching/mentoring capacity. We also volunteer for certain events.

I work with couples and men in a relational context. I walk with couples who are struggling in marriage, use SYMBIS to work with couples for their pre-marital requirement, and walk with men who are going through separation or divorce.

In the context of coaching ministry, I pray with and for the couples and men I am coaching. In my individual prayer time, I pray for them and pray before, during and after coaching sessions with them. I utilize Scripture extensively drawing on the wisdom of God and presenting principles for life to the people God has entrusted to me. I draw on every Scriptural principle the Holy Spirit shows me to provide foundation for each coaching session. Before sessions I will pray for the people I am coaching and the session itself. I ask the Holy Spirit to lead the session and even during the session will (under my breath or in my mind) ask for guidance from the Holy Spirit.

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.