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Apply to be an ActionCOACH

To apply to be an ActionCOACH, simply fill in the series of forms below. Please allocate 30 - 60 minutes to complete these forms.

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • Step 1: Your Personal details
  • Step 2: Your Occupation details
  • Step 3: Your Education details
  • Step 4: Your franchise suitability
  • Step 5: Your Goals
  • Step 6: Your business partner & associates
Profile Details
Title   Mr   Mrs   Ms   Miss
First Name*     Middle Initial
Last Name*  
Preferred Name
(if different)		  
    *Required
     
Contact Details
Postal Address*  
Country*  
State*  
    Other - if state not listed above:
City  
Zip / Postal Code  
Number of years at physical address*  
Is this the state you wish to become a franchisee in?*   Yes   No
If no, then where?  
Business Number*  
Cell / Home Number  
Best Time to Call   Day   Evening   Both
Email*  
     
Personal Circumstances
Marital Staus   Single
    Married
    Separated
    Divorced
    Significant Other / Life PArtner
    Other
Number of Dependents     And Ages
     
Husband / Wife or Partners’ Details
Title   Mr   Mrs   Ms   Miss
First Name  
Last Name  
Proposed Involvement in the franchise?
  
     
   
*Required
Legal Notice
Company Owner or Self-Employed
If you are a company owner or self-employed then fill in the following details:
Occupation Type   Company Owner   Self-Employed
Business Description  
Annual Revenues  
Number of Staff  
Your Income  
     
Employment
If you are currently employed then fill in the following details:
Occupation Type   Currently Employed   Not Currently Employed
Current Employer  
Type of Business  
Your Position  
Your Income  
     
Legal Details
Are you legally authorized to work or purchase a business in this country?*   Yes   No
If you answered No then details please  
Is there anything which may hinder you in effectively operating this type of business?*   Yes   No
If you answered Yes then details please  
     
   
*Required
Legal Notice
High School attended and level of achievement
School Attended  
Qualifications  
     
College Education, school attended and level of achievement
Facility Attended  
Years at Facility  
Facility Attended  
Years at Facility  
Qualifications  
     
Courses or Personal Development Activity
Course / Activity  
Date Completed  
Activity Overview  
     
Course / Activity  
Date Completed  
Activity Overview  
     
   
*Required
Legal Notice
This section covers a broad range of issues, which have been included to help ActionCOACH assess your attitudes in a number of areas. As a small business coach, your attitude toward assisting the small business owner is critical to the success of your ActionCOACH franchise.
Franchise Questions
During your lifetime, what do you consider you have been successful at (major accomplishments) and why did you consider yourself successful?
Successful at*  
Why?*  
What do you most enjoy when coaching other people?*  
What do you least enjoy when coaching people?*  
Do you prefer to work as part of a team?*   Team   Independently
Please explain*  
List 3 reasons why you think becoming an ActionCOACH franchisee is a positive step in your life.
Reason 1*  
Reason 2*  
Reason 3*  
Are there any legal proceedings against you?*   Yes   No
If yes, please explain*  
Do you have any criminal convictons recorded against you?*   Yes   No
If yes, please explain*  
     
   
*Required
Legal Notice
This section covers a broad range of issues, which have been included to help ActionCOACH assess your attitudes in a number of areas. As a small business coach, your attitude toward assisting the small business owner is critical to the success of your ActionCOACH franchise.
Achieving Your Goals
How long have you been seeking a business?*  
(days / months / years)
What other types of opportunities have you been looking for?*  
When could you start working in or establishing an ActionCOACH consulting business?*  
Please list in order of importance the goals which match your own immediate objectives; 1 being the most important and 7 the least important.
Increased Earnings*  
Own my own business*  
Invest for asset growth*  
Being involved in a consulting business*  
Helping other people achieve their dreams*  
Greater level of personal freedom*  
Other     List Other
My most important goals (1 & 2) are important because by accomplishing them I will be able to*  
     
Detail Your Key Financial Requirements
Current income required?*  
Desired income in
1 year*		  
Desired income in
2 years*		  
Detail your key lifestyle requirements which you expet to be filled by owning your own business*  
Detail any other important factors you feel a business should provide you  
     
   
*Required
Legal Notice
This section has been provided so you may list important questions that you may have about becoming an ActionCOACH franchisee. These questions will be given due consideration and either your ActionCOACH Master Franchisee will contact you or a representative from ActionCOACH head office.
Business Partner
Do you have, or plan to have, a financial partner or partner?
Business Partner*   Yes   No
If you answered yes to having a business partner, please fill out the following:
Partner’s Name  
Partner’s Phone  
Partner’s Cell  
Partner’s input into this business  
     
Your Associates (optional)
If you desire, please list two associates that ActionCOACH head office can contact to discuss your abilities to run a business or coach small business clients. This contact will be via telephone and will be conducted in a professional manner.
Associate 1    
Partner’s Name  
Relationship  
Telephone  
Cellular  
Associate 2    
Partner’s Name  
Relationship  
Telephone  
Cellular  
     
Security*
To help us fight software robots, please copy the text from the image in the box below…
   
   
   
*Required
Legal Notice