Let’s get started! I’m so excited!

The next step: Fill out this form and then exhale! This is going to be grand.

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To ensure we’re all on the same page (because nothing is worse than signing up and then being surprised!) here is a run down of what we’re both committing to:

Role of Mentor

∞     Be non-judgmental, objective & open throughout the coaching process.

∞     Focus on the goals of the client.

∞     Encourage and challenge the client, teaching skills as required.

∞     Observe confidentiality of all discussions at all times unless there is a potential for, or a risk to beings, the organization or the law.

∞     All records and information resulting from the sessions will be kept confidential except as required by law.

Role of Client

∞     Prepared to take on board feedback received.

∞     Open to challenges to thoughts, ideas, and working practices.

∞     Commit to the principles of mentoring to aid development.

∞     Fully responsible for their own physical, mental and emotional wellbeing during sessions, including choices and decisions made. 

∞     Can choose to discontinue coaching at any time, although no refund shall be issued.

This section defines how sessions will be conducted by both mentor and client.

∞     To communicate honestly and openly at all times.

∞     Neither mentoring nor coaching involves the diagnosis or treatment of mental health conditions, and is not a substitute for therapy. Equally, these sessions are not a substitute for professional advice by legal, medical, financial, business, spiritual or other qualified professionals.

∞     Both the mentor and client agree to give at least 24 hours notice if unable to attend a one-to-one session, or as much notice as possible in the event of illness or an emergency.


I agree to all terms and statements above, and it is my intent, to indicate agreement by typing my name and electronically submitting this record/document.

I understand that my submitting this record/document in this fashion is the legal equivalent of having placed my handwritten signature on the submitted record/document and this affirmation.

I understand and agree that by submitting this record/document in this fashion I am affirming to the truth of the information contained therein.

Effective: March 22, 2019


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+ Gain confidence & trust your own decisions again.

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It’s time to craft your 'new normal' & be your own eff'ing hero. Ready?Count Me In! →