PACA

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Member Profile Area
Here you can modify your password, change your personal information, or provide updated or new information.

All fields denoted with an * are required!

Password *
Email Address *
Web URL (i.e. http://www.yoursite.com)
Company Name
Title
First Name *
Last Name *
Address 1
Address 2
City
State
Zip
Home Phone
Business Phone
Cell Phone
Fax
Gender Male Female

General Profile Area
Use this area to let PACA Administrators know a little more about you.

How Did You Hear About PACA?
Why Are You Joining/Did You Join PACA?

ICF Member

Yes No

ICF Membership Number
I'm Getting Training With

Are You Certified?

Yes No

List Certifications You Hold

List Coaching Schools Attended. If Completed, Include Date Of Graduation.

General Education (Highest Degree Attained And Date)

Are You A Speaker?

Yes No

Topics You Speak On

Audiences You Have Addressed (Nature And Size)

Speech Titles

Charging Policy For Speeches

Coach Profile Area
If you are a coach, please complete the following information. To have your information displayed in the Coach Profile area, please enable your profile by setting the Profile Enable field to "Yes"

Profile Enable (Coaches Only!)

Yes No

Free Intro Session

Yes No

Offer Complimentary Materials

Yes No

Special Skills
Certification

Teaser
Please write a "teaser" in 100 characters or less that will help others to refer clients to you.

Background
Describe what you want clients to know about you and your coaching practice. You can include such information as your coach training and/or academic background. (In 500 words or less.)

Professional/Life Experience

Accountant
ADD
Administrator
Architect
Artist
Athlete
Attorney
Author
Banking
Board Member
Broadcasting
Builder
Bus. Owner
Career Counselor
CEO
Chiropractor
Coach
Consultant
Corp. Employee
Craftsman
Dentist
Doctor
Educator
Employee
Entrepreneur
Executive
Farmer
Fin. Management
H.R. Director
Health Care

Homemaker
Hospital Admin.
Inventor
Mail Order
Manager
Marketing
Massage Therapist
Military
Ministry
Multi-Lingual
Non Profit
Org. Dev.
Partnership
Performer
Phys. Challanged
Pilot
Planner
Programmer
Project Manager
Public Employee
Real Estate
Sales
Scientist
Speaker
Stock Broker
Teacher
Therapist
Trainer
Web Designer
Writer

Coaching Specialties

ADD
Assessment Tools
Business
Business Finance
Business Startup
Business Teams
Career
Children
College Students
Computers
Creativity
Disabled
Executives
Fin. Planner
Health & Fitness

Life Balance
Management
Marketing
Mentor Coach
Personal
Personal Finance
PR
Public Speaking
Publishing
Relationships
Retirement
Sales
Spiritual
Time Mgmt.
Web Design

Fee Range

$150-$250/Mo.
$250-$500/Mo.

$500+/Mo.
Less than $150/Mo.

Coaching Methods

Corporate
E-Mail
In Person

Negotiable
Telephone
Workshop/Seminar

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