IMGCA Certification Application

To apply for admission to an IMGCA certification program, please fill out the form below and click "Submit" to send us your application via email. If you prefer, you can use our offline application form, which you should print, fill out and mail to us.

Certification Application Form

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:   * I have selected the type of certification I want. * I have read and agree to the terms and conditions of the IMGCA certification programs and to the terms and conditions of using the IMGCA web site.

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.

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