by Paulo Vieira on May 4th, 2023
Credentialing Name | |||||||||
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* The following list of requirements must be completed before beginning this application. No requirements found for this credentialing. | |||||||||
Thank You Statement | 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. | ||||||||
Disclosure Statement | 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. | ||||||||
Status | Reviewing | ||||||||
Product ID | 1201 | ||||||||
Product Name | Certified Associate Christian Life Coach (CACLC) | ||||||||
Type of Credentialing | core | ||||||||
user_credential_id | 507 | ||||||||
Demographics | DemographicsThis information will update your profile information. | ||||||||
Name | Jackson Wilbourn | ||||||||
Home Address | P.O. BOX 516 Alpine, TX 79831 United States Map It | ||||||||
Organization | Lamp -Lighter Life Coaching | ||||||||
Organization Address | P.O. BOX 516 Alpine, TX 79831 United States Map It | ||||||||
Work Phone | (432) 294-1103 | ||||||||
Cell Phone | (432) 294-1103 | ||||||||
Email hidden; Javascript is required. | |||||||||
Gender | Male | ||||||||
Age | 50 | ||||||||
Ethnicity | |||||||||
Print My Certificate Showing My Name As: | Jackson Wilbourn | ||||||||
Print Certificate Size | Letter (8.5" x 11") | ||||||||
Education/Training in Christian Life Coaching | Education/Training in Christian Life Coaching | ||||||||
Education Hours Requirement |
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How many education/training hours in Life Coaching do you have? | 60 + | ||||||||
Education/Training Description | I currently have completed: | ||||||||
Non-ICCI Education Documentation | Yes | ||||||||
Documentation Upload | |||||||||
Mentoring in Christian Life Coaching | Mentoring in Christian Life Coaching | ||||||||
Mentoring Requirement |
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How many sessions have you completed with an ICCI-approved professional Life Coaching mentor? | 3 | ||||||||
Field Experience in Christian Life Coaching | Field Experience in Christian Life Coaching | ||||||||
Field Experience Requirement |
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How many field experience hours have you completed practicing Christian Life Coaching skills, principles, and theory? | 30+hrs | ||||||||
Field Experience Description | I have been involved in Chrisian life Coaching with It's Not Over LLC since October of 2024. I have participated as a coach with weekly Q&A sessions, (up to 3 a week) 1+hrs each session. I also have been coaching my own client for both hire and pro bono for those having marital problems. In addition, I have been doing group sessions with the Baptist Student Ministries men's group, taking the men through the 7 Maturities of a Godly Man study (My own developed subject) during this Spring semester, which incorporates foundational principles of how a man sees God, himself in God, and then himself among others in the world, thus making his relationships fruitful, by himself being a Christ focused man. I found that employing the classes taught by ICCI, I have been able to develop my curriculum for this class and then present it to others. | ||||||||
Other Professional Credentialing or Certification | Other Professional Credentialing or Certification | ||||||||
I have a life coaching, counseling, or other relevant credential/certification with another organization. | Yes | ||||||||
Non-ICCI Certifications or Credentials |
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Other Certifications/Credentials Document Upload | Certificate-Mental-Health-First-aid-20250304_163337261.pdf | ||||||||
Spiritual Orientation and Practice | Spiritual Orientation and Practice | ||||||||
Instructions | Please define/describe your thoughts and beliefs on the following questions. | ||||||||
Who is Jesus Christ to you? | My Savior! Before Abraham was. From the foundation of the World. If our message isn't focused on our representation of him, we are out of calibration. | ||||||||
How does a person become Christian? | The Holy Spirit must open someone's eyes to their own broken condition. They need to know that there is a savior. In knowing, about him and then trusting in his physical blood sacrifice for our sins, (past, present, and future) and not of their own works (extra credit, makeup work mentality) they are saved from the pit they are in, and the judgement that they were reserved for. | ||||||||
Describe your beliefs about the Bible: | It is essential for our foundation in knowing the Father, and his plan for us. Without it we are wandering in a dense forest of darkness making our own way to a place we don't know, hoping to find something that we know nothing about, in directions that only seem easier for each passing moment. "LOST". | ||||||||
Describe your beliefs about the Holy Spirit: | The Holy Spirit goes ahead of us to speak to a lost or hurting person and prepare him or her ahead of the audible voice that The Father needs for us to be to that person. The Holy Spirit also prompts us in ways that we can minister to that person. The Holy Spirit is Gods gentle voice and presence in a lost and dying world calling Adam Back to Him. | ||||||||
Briefly describe your personal faith testimony, your spiritual journey, and current walk with Christ: | I am a broken Jar of Clay mended and transformed into something useful and presentable. I was saved as a young boy. I grew up in a strong Christian home. I became a very on fire Christian through my youth group in high school where I rededicated my life to Christ. I was married at 20 years old, (now a victim divorce), a father of 9 children. I know the hurt that that life brings. I understand the feeling that "This was not supposed to happen to me." I know how The Father uses the hard times to get our attention, to call us from the mundane and routine, to further purify us, to renew our minds, to keep cleansing us from all unrighteousness, and to put us on new paths. As I turned 50 it became apparent that things were about to change through pain but for the better. I am excited to help other men, (and women) to see the value in self-reexamination, to judge ourselves lest we be judged by others, and to change. | ||||||||
Describe your Life Coaching practice/ministry and how you incorporate biblical principles, as well as spiritual practices and disciplines in your coaching activities (e.g., prayer, the use of Scripture, meditation, worship, solitude, etc.) | I am an avid hiker. I love to hit the trails and walk. Mostly I love to be by myself and to pray. For me in Christian coaching I want to take men on a journey, just like hiking, that may have lots of twists and turns, ups and downs, stony ground or smooth ground but to understand that to get to the top you just got to walk it. I can't walk it for you, but I would love to walk some of it with you. My hope and prayer is that along the way I eventually disappear, and they find that it was Jesus walking next to them the whole way. | ||||||||
ICCI Applicant Attestation | ICCI Applicant Attestation | ||||||||
Note | 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. | ||||||||
Introduction | 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 A: Christian Personal Testimony | ||||||||
ICCI Doctrinal Statement | Yes | ||||||||
I Am a Believer in Jesus Christ | Yes | ||||||||
If you answered “No” on any item in this section, please explain your response here: | |||||||||
SECTION B: Christian Coaching Testimony | SECTION B: Christian Coaching Testimony (Required) | ||||||||
Instructions | 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) | ||||||||
Christian Practices | Yes | ||||||||
Christian Education/Training Hours | |||||||||
If you responded "Yes" above, please upload your non-ICCI documentation. | |||||||||
Other Education | |||||||||
SECTION C: Ethical Integrity | SECTION C: Ethical Integrity (Required) | ||||||||
Introduction | 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: | ||||||||
Legal | No | ||||||||
Disciplinary Suspension | No | ||||||||
Association Status Suspended/Revoked | No | ||||||||
Complaints Resulting in Suspension | No | ||||||||
Professional Complaints | No | ||||||||
Criminal Record | Yes | ||||||||
If you answered “Yes” on any items 1-6 in this section, please describe in detail the case and its disposition. | 10 years ago (2015), while working on the roof, my son (then 2 yrs old) was able to open the front door and wander off. Someone reported him close to the highway. An officer brought him to the door. I was charge with "Child Endangerment". Charges were dropped due to lack of evidence of willful intent to harm or bring danger to a child. Nothing came of it. | ||||||||
Ethical Acknowledgement |
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ICCI Applicant Agreement | ICCI Applicant Agreement | ||||||||
Agreement Terms | CERTIFICATIONApplicants 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. AUTHORIZATIONApplicants 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. INDEMNIFICATIONApplicants 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 RESOLUTIONIf 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 RESOLUTIONApplicants 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. | ||||||||
Application Consent |
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Credential Requirements | Credential Requirements | ||||||||
Basic Requirements | Basic Requirements | ||||||||
Compliance | I Agree | ||||||||
Continuing Education Requirements | Continuing Education Requirements | ||||||||
CE 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 RECIPIENTNOTE: A minimum of ten (10) contact hours of the required total number of hours must be from Category #1
Category #2: Continuing Education activities that the credential holder PROVIDES as a FACILITATOR
Acceptable Forms of Documentation for Continuing Education activities:
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CE Guidelines Understood |
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References | ReferencesProcessing 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 | ||||||||
Personal Reference Name | Don McGinnis | ||||||||
Personal Reference Email | Email hidden; Javascript is required. | ||||||||
Professional/Collegial Reference Name | Chaplain Sam Olmos | ||||||||
Professional/Collegial Reference Email | Email hidden; Javascript is required. | ||||||||
Pastoral Reference Name | Pastor Colman Reidling | ||||||||
Pastoral Reference Email | Email hidden; Javascript is required. | ||||||||
Life Coaching Mentor Reference Name | Cedric White | ||||||||
Life Coaching Mentor Reference Email | Email hidden; Javascript is required. | ||||||||
Sign and Send | Sign and Send | ||||||||
I Understand |
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Pre-sign statement | 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. | ||||||||
Typed Signature | Jackson Wilbourn |