Sapphire AICI CEU Program Application

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home/Work Phone

Mobile Phone*

Email*

Business Name*

Website*

Tell Us About You:

Briefly describe your business as it is right now. Who are the specific clients you serve, what types of problems do you solve for them and what are your current products and services? (In 10 sentences or less)*

Describe what phase of business you are in? (starting a new business, been in business for years or a highly seasoned business owner, etc.)*

What opportunities and/or challenges are you currently facing in your business?*

What 3 goals would you like to achieve in 6-9 months? (Realistic but a bit of a stretch)*

What would you most like to change about your business?

How would achieving this together make a difference in your life?*

How quickly (or not) would you like to change it? And why?*

What specifically appeals to you about working with Sarah as your business coach?*

Tell us why we should accept you in this AICI Approved CEU’d 3.0 program?*

Do you work with individual clients or corporate clients or both?*

Please tell us about the types of clients you have worked with. (Check all that apply.)*

Large corporations (over 5,000 employees)
Mid-market companies (500 to 5000 employees)
Small businesses (25 – 500 employees)
Solo business owners and micro business owners (under 25 employees)
Universities and college
Non-profits
Government Agencies
I have not yet worked with corporate clients, but I have a background of working in small to large size organization.
I have not yet worked with any of the above… but I am ready to position my services to work in organizations.

Gross Sales Within Last 12 Months*

Gross Sales Goal Within the Next 12 Months? Why is this financial goal important to you?*

What would stop you from reaching your goal?*

Are you emotionally and financially ready to invest in private coaching?*

What types of support are you interested in? (Check all that apply.)

If other – please specify

Is there anything else you would like to share with us?

CAPTCHA

Client Portal

AICI CEU Approved Sapphire Program Application

Tell Us About You: