Course Registration

Use this form to register for an upcoming course

You did it! You're here, you're ready.

Where inspiration meets action, therein lies the key to all transformation.

And it starts with a single step.

Welcome! I'm thrilled that you have taken this step to achieving your goals! This is a big deal.

This short form will help me get to know you better prior to class! It will also walk you through step by step how to register for your Course with me. You are just a few steps away from beginning your program and receiving the support you need to achieve your goals!

As you may know, I offer two tracks to help you reach your goals and offer you support.

Private Coaching and Training Programs
Group Classes

Next steps:

Once you have completed this form, use the link below to complete your course registration. This payment link will take you to my online store so you can secure your spot in the upcoming class.
If you have a question about the program, please let me know. Send your email to rebecca@rebeccacooley.com.
Once your registration is complete, you will receive your Welcome Email! with details about your program. *Please add @rebeccacooley.com to your address book.

I'm looking forward to meeting you soon and helping you achieve your goals and offer you the support you need. Please let me know if you have any questions. Thank you!

Wishing you much peace and joy,
-Rebecca Cooley

Certified Master Coach & Instructor

*Master Coach Rebecca Cooley specializes in executive coaching, public speaking training, career coaching, interview preparation, goal achievement, and mindfulness.

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* 1. Contact information

Name:

Occupation and Title:

Age:

Address:

City/Town:

State:

Phone Number:

Email Address:

Which course are you interested in? (please include the full name of the class AND the start date)

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* 2. Why now? Why me? Why have you decided to join me in this program now?

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* 3. What is the one big thing that is getting in the way?

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* 4. Fast forward 12 months in the future, what would success look like to you if I helped you with that?

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* 5. What strategies have you taken so far to help you achieve your goals and address any challenges you are facing? (check all that apply)

Classes

Individual or Group Counseling or Therapy

Independent Study

None of the above

Other (please specify)

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* 6. How do you hold yourself accountable and motivated to achieve your goals?

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* 7. Which areas are you currently looking to improve? (check all that apply)

Goal achievement

Leadership development and Leadership communication

Public speaking

Employee relations

Interpersonal effectiveness and communication

Confidence and assertiveness skills

Stress-reduction, relaxation

Life coaching and personal goal achievement

For New Coaches: coaching training and techniques, business mentoring (including mindfulness techniques)

Interview preparation

Career exploration and career change coaching

Strategies for Introverts

Coping with Social Anxiety

Mindfulness & Meditation

How to Network

Kickstart Your Career: career coaching, interview training, resume instruction

How to Feel My Feelings

Making Peace with Myself, My Body, & My Food

Connecting with my Audience

Reducing nervousness

Delivery (non-verbal and body language)

Delivery (verbal communication- inflection, volume, projection, tone)

Focus and concentration

Speaking to large groups

Speaking at meetings

Speaking authentically

Impromptu speaking and answering questions

Self-compassion

Productivity and Time-management

Other (please specify)

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* 8. Because of the whole person approach and intrinsic coaching and training involved in my classes, my classes are designed specifically for partners who are looking for the specific type of whole person training I offer.

My partners are:

Courageous and willing to look at all aspects of the issue including internal blocks and beliefs to make lasting shifts

Committed and willing to do the work needed to achieve their goals

Motivated or willing to learn motivational strategies

And ready to take it to the next level with their personal or professional goals

Are you a Catalyst?

Please take a look below and check the boxes if you feel this is you:

Yes, my challenge involves an intrinsic goal and I am willing to look more deeply at my beliefs and emotions to overcome any mindset blocks I may have. While my main goal may be skill building, I understand the complexity of this challenge and am not solely focused on skill building. I am open to learning strategies from a variety of disciplines to help me achieve my goals, including but not limited to self-reflection, self-compassion work, mind-body stress reduction techniques, etc.

Yes, I am currently taking actions toward my goals or willing to take actions. I am personally motivated and also open to learning motivation strategies if needed. I am interested in personal empowerment. I am committed to practicing and applying what I learn in this program immediately. I have a strong desire to create lasting change for myself. I am ready to do it to do the work.

Yes, I am ready now to take things to the next level of my personal and professional growth. My growth is not a lofty goal that can wait for another day but instead it is a current and active pursuit. It is a hot goal for me and I am serious about taking action now.

Yes, I understand and accept the commitment involved with this online course. I commit to setting aside time to complete the homework and understand that this is necessary for me to achieve my goals and an essential component of program completion.

Yes, I understand and agree to the following disclaimer.
DISCLAIMER: It’s important to know my results are not typical nor is my experience. It is my hope that these strategies will help you as they have helped me. It is my hope that you are committed to doing the work necessary to achieve your goals. This type of transformation and growth entails a great deal of commitment and willingness. These types of programs involve diligence and at times a commitment to mastery. Everyone of my partners has their own pace by which they grow and we honor that first and foremost. Know that I am here for you once the course is complete to continue to support you as you gain mastery. This information is typically offered as 3-month programs with six hours of private coaching as well as a 90-minute assessments, and additional practice sessions. Please be aware that an accelerated class such as this is only the tip of the iceberg compared to my thorough coaching programs, and is only intended for people who are committed to doing the work in an accelerated way.

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* 9. Which keywords did you use to search for us? (ex. public speaking class Raleigh)

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* 10. FINALIZE YOUR REGISTRATION HERE
(IMPORTANT: Open links in separate tabs and Remember to press "DONE" to submit this registration form.)

Yes, I have read, understand, and agree to the terms outlined in the Agreement. Click here to access the Agreement prior to purchase.

Yes, I have secured my spot and made my payment. Click here to access Rebecca's online store and complete your payment.

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* 1. Contact information

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* 2. Why now? Why me? Why have you decided to join me in this program now?

Question Title

* 3. What is the one big thing that is getting in the way?

Question Title

* 4. Fast forward 12 months in the future, what would success look like to you if I helped you with that?

Question Title

* 5. What strategies have you taken so far to help you achieve your goals and address any challenges you are facing? (check all that apply)

Question Title

* 6. How do you hold yourself accountable and motivated to achieve your goals?

Question Title

* 7. Which areas are you currently looking to improve? (check all that apply)

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* 9. Which keywords did you use to search for us? (ex. public speaking class Raleigh)

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* 10. FINALIZE YOUR REGISTRATION HERE (IMPORTANT: Open links in separate tabs and Remember to press "DONE" to submit this registration form.)

* 10. FINALIZE YOUR REGISTRATION HERE
(IMPORTANT: Open links in separate tabs and Remember to press "DONE" to submit this registration form.)