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World's leading Neuro Coach Training School
   
       
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 DIPLOMA in NEUROCOACHING

  
 

 
   

NEURO MASTER COACH
COURSE (NMC)
 

Course Application Form
 


 
     
    Fast-tracked E-Learning with Full Certification.
 - No ADD-ON coach training hours, mentor coaching		  
     
 
  Diploma Course: Distance Learning -Estimated 40-50 hours of course work -depending on the student’s available time frame and learning style. Similar course structure as NMC Program -but greater depth.  
     
  NMC Course: Distance Learning. Estimated 30-40 hours of course content and work.
   
   
 
     
 

Currently, our diploma trainings are only open to professionals who have had prior experience in people development.

To reduce the application processing time a small number of select applicants are now able to bypass the telephone interview process and have their application directly submitted to the Institute's Section Panel for consideration. The Panel may request additional references or support material from an applicant to assist them in confirming the person's suitability.

 * ICC -The internationally recognized International Coaching Council is the world’s premier professional accreditation body for professional workplace coaches (established 1998). A Neuro Master Coach graduate automatically gains prestigious membership of the ICC.

*Note: In fairness to all pending qualified applicants, to secure one of the strictly limited course places, a successful applicant is required to remit full payment (via bank wire) for the course within 5 working days of receiving their Acceptance Letter/Email.

  
     
 
   
   
 
   

Obtain world recognized Board Accredited Certification.
- ICC Gold Seal Board Accreditation

Board accredited certification demonstrates a coaches expertise in neuro-behavioral coaching for life wellness and peak performance practice. Certification by the world's leading coach accreditation body, the International Coaching Council (ICC) Board, involves confirmation of completing a world-best standard, industry-recognized course that is designed and administered by instructors who are world recognized experts in the field.

 		  
 

      
 
 
 

APPLICATION FORM
 
>>  Application Steps:
Step 1. Submission of your application to the Institute's Selection Panel for approval.
 Step 2. If offered a place course payment is required by bank wire or internet banking.
   

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  1.  Yes! As a Sign-Up Bonus - I also wish to receive, at no extra cost, the additional Professional
                   Coach Practice Toolkit and Resources Library (In English -over 300 pages). Value $us1,295.00		  
 
               I am looking to use NeuroCoaching :
                  - As a Coach in my own practice.
                  - Internally in my Organization / Business -for professional development 
                  - As an Authorized License Holder who can teach the course and certify others.
                 More: 
 
2.   Course Format Options: Self Study or Campus Class.
                        - Workplace / Executive Coaching, Wellness Coaching and Performance Coaching
 
 
  |    .    Self Study Select below Course Rates
                           - (E-Learning - 2 or 3 weeks private, casual study at home).
                        Corporate Course Rate:
                           Diploma in NeuroCoaching $us2,495.00
                           Neuro Master Coach Course  $us1,995.00 
                                - Optional telephone interview / call with Dr Zeus.-Yes!
                                                                    -or-.
                       Standard, Personal Course Rate:  (Applicant pays for course)
                            Diploma in NeuroCoaching   $us1,995.00.
                            Neuro Master Coach Course $us1,595.00 

                 BONUS: Yes!  I also wish to receive, at no extra cost, the additional Professional Coach .
                       Practice Toolkit and Resources Library (over 300 pages). Value $us1,295.00.
                .Plus please also include the easy-to-use Neuro-Bioenergetics (Energy) Change Model and
                       tools with my Course. Energy Psychology has been called the Future Of Performance,
                       Well-Being and Health.
 
 

                                        Scholarship Application - Require Some Financial Assistance:
                                      Diploma in NeuroCoaching Neuro Master Coach Course
                                        - Maximum 2 Places per Country (including USA) per Semester.
                              Based on my below reasons -please quote me a Financial
                                         Assistance Course Rate!
                                                                        -Reasons:
                                   

 

                              Optional:  Plus Post-course Mentoring - Mentor Support: 1-to-1 (one
                                                  tutor, one student) eg; obtain vital information, intervention planning
                                                  assistance, second opinion or trouble-shooting help etc.
                                                  -  # of Hours: 1. 2. 3. 4. ($us165 per hour)
   
 
   
    
          . Campus  (Accommodation not included. Covers Course Costs) :
                            - New York, USA (Annual): Sold out
                                               - $US3,985.00  Class of 24.
                                             Yes, please notify me when next available course

                        - Gold Coast Rainforest Retreat, Australia.  Private one-on-one training with Dr Zeus  
                                    Yes, I wish to have Dr Zeus call me to discuss my practice needs and 1-to-1, one
                                   day, private, customized training with him.  $US5,650.00 . (See: Retreat Pics)
 
 
 

    3.    Do you  also wish to apply for a Territorial License to deliver the course?
           -   Yes!
                         -   Please arrange a telephone call with Dr Zeus to discuss details eg; Licensing Fee etc
                              -  Define Your preferred Region (City or State or Geographic region of large Country etc):
                                

                    Your Relevent Business & Educational Background / 'People Development Experience':
                       

                          - Currently I do not provide any professional or personal development courses
                           -  I am an existing Educational Provider

          -   No!   At this point I do not wish to apply for a License to teach the course !
                              I understand that there are only a limited number of licenses assigned each year
                              and I will need to place my name on a Wait List if I apply at another time..
 
 
4. Personal Details  
   

 

Full Name:

 

Business Name:

 

Address & Zip:

 

State & Country:

 

Tel. #'s:

Home/Mobile:   Biz:

 

Email :

Biz: Personal:
   
Website :
Facebook Name:
   
 

Profession /  Position :

     
 

Your Professional / Educational Background / 'People Development Experience':

 

 

 

 Brief description of your business

 

 

What are your goals in learning Neurocoaching?

   

Any further relevant information we should know etc?:

 

   

Any Faculty Sponsor or other Referral Names etc to support your application:


 
  
 

 

  

 
 
 
   
 
     

 

    


Registered as an Education provider from the State Board of Behavioral Sciences, California.
Founding Board Member of International Coaching Council
 
Behavioral Coaching Institute. Graduate School of Neuroscience