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Name ______________________________________ |
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Address _________________________________ |
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City, State, Zip _____________________________ |
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Country _________________________________ |
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Phone __________________________________ |
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Email address ________________________________ |
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Website ________________________
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Check 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.
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What are your motivations and reasons
for wanting to be certified by the IMGCA?
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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.
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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.
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Describe your training, coursework
or background in the mental game field. How are you currently
applying mental game coaching principles to your work?
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Please
note that the application must have both of the following
boxes checked to be valid.
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I have selected the type of certification I want.
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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.
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Please
print this page or copy it into your word processor, then fill
it out and mail it to IMGCA. (See below for address.)
