ICCI Credentialing – Pre-2023
by Paulo Vieira on May 4th, 2023
| Status | product_id | user_credential_id | First | Last | Name | Name (Prefix) | Name (Middle) | Name (Suffix) | Home Address | Street Address | Address Line 2 | City | State / Province | ZIP / Postal Code | Country | Organization | Organization Address | Street Address | Address Line 2 | City | State / Province | ZIP / Postal Code | Country | Work Phone | Cell Phone | Gender | Age | Ethnicity | Print My Certificate Showing My Name As: | Print Certificate Size | Education Hours Requirement | Education/Training Description | Non-ICCI Education Documentation | Documentation Upload | Mentoring Requirement | Field Experience Requirement | Field Experience Description | I have a life coaching, counseling, or other relevant credential/certification with another organization. | Non-ICCI Certifications or Credentials | Other Certifications/Credentials Document Upload | Who is Jesus Christ to you? | How does a person become Christian? | Describe your beliefs about the Bible: | Describe your beliefs about the Holy Spirit: | Briefly describe your personal faith testimony, your spiritual journey, and current walk with Christ: | 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.) | ICCI Doctrinal Statement | I Am a Believer in Jesus Christ | If you answered “No” on any item in this section, please explain your response here: | Christian Practices | Christian Education/Training Hours | If you responded "Yes" above, please upload your non-ICCI documentation. | Other Education | Legal | Disciplinary Suspension | Association Status | Complaints Resulting in Suspension | Professional Complaints | Criminal Record | If you answered “Yes” on any items 1-6 in this section, please describe in detail the case and its disposition. | Ethical Acknowledgement | Application Consent | Compliance | CE Guidelines Understood | Personal Reference Name | Personal Reference Email | Professional/Collegial Reference Name | Professional/Collegial Reference Email | Pastoral Reference Name | Pastoral Reference Email | Life Coaching Mentor Reference Name | Life Coaching Mentor Reference Email | I Understand | Typed Signature | Entry ID | Date Created | User IP | Source URL | Payment Status | Transaction Id | Payment Amount | Payment Date | Created By (User) | |
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| Reviewing | asd | fds | asd fds | 123 da;, tx 78564 United States Map It | 123 | da; | tx | 78564 | United States | (122) 222-2222 | Email hidden; Javascript is required. | asg er | Letter (8.5" x 11") | Yes | dafre hrg z fhg a | No | Yes | Yes | dfske jdfj iadesor | No | dsafhh i | hdshfia | kdfjeoi jdei | d fhieo eohi | dkarji eijhif | kdir oa eheh | Yes | Yes | Yes | No | No | No | No | No | No | I Agree | I Agree | I Agree | I Agree | dfsh dfghj | Email hidden; Javascript is required. | xfgh | Email hidden; Javascript is required. | fdd jjyy | Email hidden; Javascript is required. | dtdyj fyff | Email hidden; Javascript is required. | I Agree | dtky gugyfd | 832 | December 29, 2022 | 172.70.110.35 | https://iccicoaching.com/?gf_page=preview&id=17 | Teresa | ||||||||||||||||||||||||||||||
| Status | product_id | user_credential_id | First | Last | Name | Name (Prefix) | Name (Middle) | Name (Suffix) | Home Address | Street Address | Address Line 2 | City | State / Province | ZIP / Postal Code | Country | Organization | Organization Address | Street Address | Address Line 2 | City | State / Province | ZIP / Postal Code | Country | Work Phone | Cell Phone | Gender | Age | Ethnicity | Print My Certificate Showing My Name As: | Print Certificate Size | Education Hours Requirement | Education/Training Description | Non-ICCI Education Documentation | Documentation Upload | Mentoring Requirement | Field Experience Requirement | Field Experience Description | I have a life coaching, counseling, or other relevant credential/certification with another organization. | Non-ICCI Certifications or Credentials | Other Certifications/Credentials Document Upload | Who is Jesus Christ to you? | How does a person become Christian? | Describe your beliefs about the Bible: | Describe your beliefs about the Holy Spirit: | Briefly describe your personal faith testimony, your spiritual journey, and current walk with Christ: | 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.) | ICCI Doctrinal Statement | I Am a Believer in Jesus Christ | If you answered “No” on any item in this section, please explain your response here: | Christian Practices | Christian Education/Training Hours | If you responded "Yes" above, please upload your non-ICCI documentation. | Other Education | Legal | Disciplinary Suspension | Association Status | Complaints Resulting in Suspension | Professional Complaints | Criminal Record | If you answered “Yes” on any items 1-6 in this section, please describe in detail the case and its disposition. | Ethical Acknowledgement | Application Consent | Compliance | CE Guidelines Understood | Personal Reference Name | Personal Reference Email | Professional/Collegial Reference Name | Professional/Collegial Reference Email | Pastoral Reference Name | Pastoral Reference Email | Life Coaching Mentor Reference Name | Life Coaching Mentor Reference Email | I Understand | Typed Signature | Entry ID | Date Created | User IP | Source URL | Payment Status | Transaction Id | Payment Amount | Payment Date | Created By (User) |
