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

ICCI - Christian Life Coaching Foundations I, II and III.

Mentoring in Christian Life Coaching

• I Agree

Field Experience in Christian Life Coaching

• I Agree

Ordained under Derek Prince Ministries (Rev. Jim Croft) in 2000, I pastored and headed an international prophetic ministry and Florida church for 12+ years, spent 2 years as a Police Trauma Chaplain for the City of Delray Beach, 2 years as a Chaplain for Juvenile offenders in the State of FL and 2 years as a Chaplain for faith-based rehabilitation centers in SE Florida. I also served as a volunteer minister in the Healing Rooms (Coral Springs, FL) for 3 years.

Other Professional Credentialing or Certification

Spiritual Orientation and Practice

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

My center, my life, my strength and the One to Whom I will return when my time here is done. I love Him. He has carried me through every loss, strengthened me to endure every trauma and shared every moment of life’s joys with me, since I was born again in 1986.

We become Christians by faith in the atoning death of Jesus on the cross and His resurrection from the dead, paying the ultimate price for the sins of all humankind and covering us with His Blood, by which we are redeemed, justified and made righteous in the eyes of God.

The Bible embodies the inerrant and Divinely inspired Word of God. It is a precious source of life and growth in our relationship with God. To me, the Bible is the yardstick by which I measure Truth, my guidance in times of decision and my comfort while weathering the storms of life.

Although named third in the Trinity, the Holy Spirit is absolutely equal in the triune Godhead. He is our Teacher, Comforter, Counselor and the One Who opens our hearts and minds to revelatory knowledge and intimacy with God.

Radically saved at 36, (Jesus miraculously healed me of inoperable tumors!), I have walked with Him for 37 years. It would be impossible to list all the miracles I have seen manifested in my life because of my faith in -and love for - Christ. The most astonishing miracle is the transformation & healing of my soul: mind, will and emotions.

My background includes dark chapters of sexual molestation as a small child; physical, verbal and emotional abuse throughout my childhood and teenage years; surviving multiple attempts on my life (all were demonic assignments intended to kill me), being an unwanted child in the foster care system, surviving date rape & abduction (at knifepoint) and overcoming the resultant despair which tempted me to commit suicide, even as a child, to escape the pain of life.

Jesus has healed my memories and traumas, (including medically diagnosed PTSD and Dissociative Disorder), as well as delivered me from bitterness & unforgiveness towards those who tormented and abused me. He has blessed me with a life story of restoration, deliverance, hope and joy.

I am a happy and hope-filled child of God. I owe Him everything.

Prior to meeting with any client, I review their files (session notes and intake forms), then devote considerable time to prayer and seeking Holy Spirit’s leading. I am given to a lifestyle of “soaking prayer” (for lack of a better term) during which I sing, worship and sometimes just “soak” quietly in His Presence.

He frequently prompts me to utilize specific, pertinent Scriptures, while actually interacting with my clients during their sessions. At times, He will awaken me during the night with an insight which will help my clients break through walls they might be facing (or might have built themselves).

It is a never-ending source of joy to end each session with prayer…to see hope on my client’s countenance…and to know that God was able to help that person through my efforts. Life coaching from a Christian, God-based foundation is truly a legitimate ministerial outreach.

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.