Private Coaching Application Contact Name * First Name Last Name Contact Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Coaching Package Selection * Choose the coaching option that you're most interested in Level One Level Two 1/2 Day Workshop Areas of Concern * Why are you seeking coaching? What would you say are the biggest problems are you facing currently? Your Story * Briefly share your story, as it relates to your concerns and the person/ people involved. Faith Background * Tell me more about your faith background and your relationship with Jesus. Previous Care History * Please tell me about anything you've done in the past to seek support for your situation (therapy, legal help, etc.) Availability * Coaching sessions are scheduled on weekdays during business hours. Are you prepared to accommodate this investment of time? Additional Notes Please tell me anything else you think I should know, or include any questions you have. Thank you for your application. I will contact you regarding the status of your application shortly. In the meantime, please add hello@uncommonvalor.co to your Safe Senders list.