Getting and Staying Credentialed Drive: ICF South Africa - Participant's Agreement


Welcome to ICF South Africa's Getting and Staying Credentialed Drive - a free bonus for ICF members affiliated to the South Africa Chapter.

This Participant's Agreement Form is to be completed only by  ICF South Africa members who have received a confirmation e-mail to their response to a free bonus offer for Mentor Coaching, during Sept to Dec  2019.

If you are not part of this group but would like information about Mentor Coaching for the ICF credentialing purposes, please send me an e-mail.

Please complete the items below and then submit. This is an online form - no need to print it out, scan and re-upload it. Instead, just fill it in and press the save and send button.

You are accessing this form via Svea van der Hoorn's private secure client portal.  At short notice, we decided that this was the simplest, easily available way to gather the Participant's Agreement forms, and ensure that your  information is secure and remains private.

If you have any concerns or questions, please contact Svea on +27(0)725339626

PS - you will be asked to provide your name and contact details twice - please complete in full.

First name and Surname

E-mail and Phone number you'd like us to contact you on - please provide a mobile / cell so we can text you, as well as call you

I confirm that I have completed the following number of coach specific training hours

I confirm that I am a current ICF member (Current = 24 Sept to 31 Dec 2019)

I confirm that I am aware that I need to complete 10 hours of Mentor Coaching, over a period of at least 3 months, prior to being ready to apply for a credential. This free bonus offer provides 3 hours of GROUP mentor coaching

I confirm that I am aware that I am individually responsible for securing the services of a Mentor Coach if I wish to, or still need to complete more mentor coaching hours to meet the total of 10 hours required for credentialing applications.

I am aware that I am free to contact any of the Mentor Coaches listed in the Mentor Coach Registry provided on the ICF Global wesbite for further mentor coaching hours - https://coachfederation.org/find-a-mentor-coach

I am aware that Mentor Coaching for credentialing purposes focuses on mastery of the ICF Core Competencies and NOT on developing my knowledge and expertise of a specific coaching model / approach.

I am aware that Mentor Coaching for credentialing purposes is not a substitute for coaching supervision.

I am aware that all my activities during and connected to these Mentor Coaching hours are governed by the ICF Code fo Ethics. I agree to honour and uphold the ICF Pledge of Ethics:

"As an ICF coach, I acknowledge and agree to honor my ethical and legal obligations to my coaching clients and sponsors, colleagues, and to the public at large. I pledge to comply with the ICF Code of Ethics and to practice these standards with those whom I coach, teach, mentor or supervise.

If I breach this Pledge of Ethics or any part of the ICF Code of Ethics, I agree that the ICF in its sole discretion may hold me accountable for so doing. I further agree that my accountability to the ICF for any breach may include sanctions, such as loss of my ICF Membership and/or my ICF Credentials."

Any further questions or comments?