Participant Application

It is our desire to incorporate you into our community, and to know you well enough to promote you and your business.

PLEASE make sure to complete this application thoroughly to help us know how we can best support you and your business.



Application Status









Your Name
Your Email Address
Mailing Address
City/State
Zip
Phone Number Work
Cell Phone
Your Website/Company Name
ICF (global) Member #
Coach Certification Designation
Coach Training School or Program
Your Coaching Specialty
ICF Credential:


















What is the difference between a group and a true community? A group is just gathered in one place, like when you’re at a stadium watching a game. What little interaction there may be has no personal connections or commitment to one another. A group transforms into a community when people take action together towards a common goal. The true value and power of a community is in the collective resources of members, united in purpose, active in their cause. Where people care about each other and self-promotion takes a back seat to generosity.

Please indicate where you would like to contribute/serve:

Capacity:


















Committees:































In an effort to streamline the ICF-OC chapter participants’ annual renewal process, all Participant Activity Fees are due September 1 annually. Participant Activity Fees for new enrollees will be pro-rated upon submission of application, to coincide with this date, *plus a $20 administrative set-up fee, which includes your permanent name badge.

Upon processing of your application and confirmation of your tier status, YOU WILL RECEIVE AN EMAIL designating your pro-rated Participant Activity Fee, payable via a secure link provided. Be sure to add icforangecounty@gmail.com to your allowed list so you will receive this very important email.

Tier 1 Annual Participant Activity Fee Renewal is $75*

Tier 2 Non-Renewable Six Month Activity Fee is $50*

Industry Partner Participant Activity Fee Renewal is $150*

Payment of ICF-OC Chapter Participant Activity Fees does not constitute membership in the International Coach Federation. International membership dues are separate from local ICF-OC Chapter Participant Activity Fees. A separate application for membership to ICF Global is required to be considered a member of ICF, and a Tier 1 participant. This can be found at www.coachfederation.org.

You may find detailed information regarding ICF-OC Participant Tier Qualifications and Benefits by going to www.icforangecounty.org and clicking on the Join Us tab.

Fill in the box, using upper and lower case letters, to indicate how you wish your NAME BADGE to read. You may use UP TO THREE LINES.

Other Payment Options

– If you prefer to pay in person by check or credit card at a regular monthly event, please bring your Confirmation Email with you and pay at the Registration Check-In table. Be sure to secure your receipt.

– OR you may fax a copy of your Confirmation Email along with your name, debit or credit card number, name on card, expiration date, security code (on back of your card), physical billing address where you receive your credit card statements, and phone number to 904-229-0620.

ICF Professional Coaches aspire to conduct themselves in a manner that reflects positively upon the coaching profession; are respectful of different approaches to coaching; and recognize that they are also bound by applicable laws and regulations.

All ICF-OC Participants agree to be in alignment with the ICF Core Values, Purpose, and subject to the ICF Code of Ethics and the Ethical Conduct Review Process.


Pledge of Ethics

As a professional coach and participant with the ICF Chapter of Orange County, I acknowledge and agree to honor my ethical obligations to my coaching clients and colleagues and to the public at large. I commit to comply with the ICF Code of Ethics, to treat people with dignity as independent and equal human beings, and to model these standards with those whom I coach. If I breach this Pledge of Ethics or any part of the ICF Code of Ethics, I agree that the ICF in its sole discretion may hold me accountable for so doing. I further agree that my accountability to the ICF for any breach may include loss of my ICF membership and/or my ICF credentials.

I have read and agree to adhere to the Code of Ethics and the Ethical Conduct Review process.



What interested you in joining this Chapter?


What would you like to receive from your participation with ICF-OC?


What specific knowledge, skills, or abilities do you bring to this group?


What other related training or credentials do you have?


What else would you like us to know about you or your business?


I agree to release, indemnify, defend, and hold harmless the International Coach Federation Orange County Chapter, its officers, directors, employees, members, participants, and affiliates from any and all claims, demands, actions, damages to persons or property, losses and liabilities, costs and expenses, including reasonable attorney’s fees and expenses, of third parties relating to or arising out of or caused by negligence or intentional misconduct of the Chapter, its officers, directors, employees, members, participants, affiliates, or agents in connection with any event, program or activity sponsored, managed or operated by the Chapter either individually or jointly with ICF.

By submission of this ICF-OC Chapter Participant Application, I agree to these terms and conditions.


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