Apply to Speak

We appreciate your interest in participating as a presenter to the ICF Charlotte Area Chapter.  Please complete and submit this application to our head of Programs so we may consider your offering.  Should your presentation be selected for a future program, we will use the information you provide in this application to describe and market your program to our members and guests and to request Continuing Coaching Education Units (CCEUs), which are of great importance to our members.

As you complete this application, please ensure that you are providing evidence that the training:
  • Is coach-specific in nature
  • Is related to the ICF core competencies
  • Will help the coach to further develop his/her skills when working with clients

* Indicates required field

Section 1: Primary Presenter Contact Information

Primary Presenter *
Co-Presenters
Organization Name *
Address *
City *
State *
Zip *
Website
Email *
Phone *
Primary Presenter's Credential Status *

Section 2: Presentation Information

Presentation Title *
Brief description of your program (235-word limit) *
Learning Objectives or outcomes of the session (list 3-4) *
Which of the following Core Competencies will be addressed?
 
A. Setting the Foundation
1. Meeting Ethical Guidelines and Professional Standards
2. Establishing the Coaching Agreement
 
B. Co-creating the Relationship
3. Establishing Trust and Intimacy with the Client
4. Coaching Presence
 
C. Communicating Effectively
5. Active Listening
6. Powerful Questioning
7. Direct Communication

D. Facilitating Learning and Results
8. Creating Awareness
9. Designing Actions
10. Planning and Goal Setting
11. Managing Progress and Accountability
Select Core Competencies *
Provide a brief outline of your presentation. Interactive experiences are highly encouraged (e.g. dyad, triad or group exercises, role plays, discussions). *
List the handouts or tools you will provide. *
Which of the following delivery methods are feasible and effective for your content? (you may select more than one) *
What is the ideal length of time for your content?
If other, please specify.
For In-person delivery, which of the following items will you require for your presentation?
Provide at least one of the following references:
  • If you have delivered this presentation to another ICF Chapter, please list the chapter name(s) and date(s)
  • Provide the names and email addresses for three individuals who have seen you present in the past year
  • Provide a link to a 5-minute video clip (YouTube, Vimeo, your website, etc.) introducing your proposed topic
References *
Speaker Bio (150-word max) *
What else would you like us to know about your presentation?
Attach a headshot - jpeg or tiff, 72 dpi


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