IMGCA Certification Application

International Mental Game Coaching Association

IMGCA Certification Application

A $100 deposit is required for all IMGCA Certification programs. This fee will be applied to the certification course charges if accepted into the program. $75 of the fee is refundable if the applicant is not accepted.

You can use your Visa, Mastercard, Discover or American Express credit card to pay the deposit for your IMGCA Certification classes. If you are a PayPal member, you can pay using your PayPal account. All online payments are made via PayPal's secure payment system, but if you aren't a PayPal member you can pay using your credit card without joining PayPal.

Please click on the "Pay Deposit" button below to send us your $100 deposit via PayPal. Then fill in the information in the form below and click Submit.

If you prefer to pay by check, print our Offline Certification Application Form and mail it to us with your check.

Please note that PayPal does not accept payment on behalf of other people, when the name on the IMGCA application does not match the payer. You can pay by personal check, business check, institutional check, bank or cashiers check, using our offline application form. In some cases we can also arrange an electronic bank funds transfer.

To prevent fraud, refunds are not allowed by means other than the same credit card or PayPal account used to make the original charge.

Click button to pay $100 deposit.

A star to the left of an item indicates a required entry.

Your name:

Street address:

City, state or province, zip:

Country:

Phone:

E-mail address:

Website:

Select certification level desired:

	Level I Certified Mental Game Instructor
	Level II Certified Mental Game Coach
	Level III Certified Mental Game Master Coach
	Level IV Certified Mental Game Professional Coach
	Level to be determined after consultation
Refer to IMGCA Certification for prices and additional details.

What are your motivations and reasons for wanting to be certified by the IMGCA?

Please describe your background as an athlete, mind-body disciplines, or in movement. Include all activities you have participated in, and the various levels, with specific examples of achievements.

If you are not a coach or teacher, and may qualify for candidacy under the other categories listed, please describe your background in sports, physical education or other mind-body disciplines. Include all disciplines you have been involved with, how you have been involved and the various levels, with specific examples of achievements.

Describe your training, coursework or background in the mental game field. How are you currently applying mental game coaching principles to your work?

Describe any undergraduate work, graduate work, other classes, degrees, certifications, licenses, or training you have received in other fields.

Tell us some brief highlights of your work history and current work.

Additional comments or questions:

Privacy notice: The information submitted on this application is used only for IMGCA purposes. At no time will we share any of this information with any other person or company.

The International Mental Game Coaching Association

1523 Alma Terrace, San Jose, California 95125, USA
Phone: 408-294-2776, Toll-free: 888-445-0291
Fax: 408-298-9525
BCole@MentalGameCoaching.com
www.MentalGameCoaching.com

The IMGCA name, design and related marks are trademarks of The International Mental Game Coaching Association. © 2008 IMGCA. All rights reserved.
Use of this website signifies your agreement to the terms of use and privacy policy.