Application as Institute

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1 New Amendment* Please state member N Company data: Details of your company Name of the Founded on Legal form Number of employees Freelancer Instructors Address Contact person / Instructor Street Code City Country Phone Mobile Fax Internet Direct access Direct access Our membership should start forthwith. We approve the professional image, the criteria of licensing and the statutes of the ECA. Page 1

2 Licencing as ECA for Advanced Training and Education For the approval as ECA please submit the following documents: Proof of the professionla practice of the Testimonial of clients / customers about successfully completed advanced education Recommendation of 2 ECA members (we can help you with that) Proof of a personal concept for a coaching instruction institute Presentation of participants' documents for an advanced coach training that include at least 150 presence and teaching unites and additional 50 teaching unites train the coach and at least 50 teaching units case studies and iterature study and work group. After examination of the submitted documents we grant the institute a licence as ECA of advanced training and education. The fees for this licence occur only once and will be charged seperatly. The advanced training has to be accompanied by at least one ECA recognized trainer. ECA licenced instructors of the institute: We hereby declare that we do not work according to the technology of L.Ron Hubbard and/or any other technology connected with Scientology but reject them completely. We do not attend nor have ever attended any instruction, courses nor seminars in the named technologies nor have induced any other person to do so nor have promoted such activities. We are not a member of IAS (International Association of Scientologists) nor any other organization known as sect nor of any other organization opposing the democratic constitution. We agree that in case any of these statements should reveal as false or be violated in the future this would constitute a valid reason to an immediate exclusion from the and to the deprivation of all ECA Licences. Page 2

3 Further information about your institute Coaching Focus Important Coaching themes you focus on: Your target audience Did any of your colleagues write a scientific essay in connection with coaching? Does or did any of your colleagues hold a professorship about coaching? Language skills of your instructors Previously offered courses / advanced trainings / seminars / workshops / lecturers or similar Member of any association / confederation etc. If any please state name and your function : Page 3

4 Direct debit mandate for This is to authorize ECA to debit membership and addmission fee as well as licences fees by direct debit. This authorization may be withdrawn at any time. The authorization is valid only for the period of the ECA membership. Bank details * Account holder: Bank name: Branch number: Account-number: International IBAN * please complete also if you have an international account According to the ECA statutes the membership and licence fees have to be paid by direct debit. This is only available within Germany. In case of an international account please remit the membership fees to the account that is mentioned in the membership confirmation. Page 4

5 Your entry in the ECA Coach Guide Being an ECA member you are already listed in the ECA Coach Guide with your address, photo and logo free of charge. (Graphics as jpg less than 800kb, best solution 72dpi) I agree to the publication of my personal details The ECA Coach Guide offers a GeoSearch as well as a research according to specifications. Please mark your qualifications for the detailed search. In which scope do you offer trainings? Companies Public Authorities - non-profit organisations Job / Career Personal aims Your personal profile in the ECA Coach Guide For the best presentation of your work profile we suggest a detailed Coach profile in the ECA Coach Guide. The price for the webdesign is a one-time fee of 90 (plus tax). If you need any help we are always happy to advise you. (Since the ECA cannot offer any marketing services you will receive the invoice from a service provider assigned by the ECA) Please set up my personal profile in the ECA Coach Guide. I will the necessary details to presse@european-coaching-association.com Page 5

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