C
L E A R I M P A C T
Consulting
Group, Inc.
Joel M.
Rothaizer Ph.D., CEO
Sandra L. Hill,
M.A., President
Coaching Agreement
Welcome!
We look forward to working with you as your
coach in accelerating your ability to be more successful and to have more of
what you want in your life. Having a clear Coaching Agreement establishes a
foundation for our work. Please let us know if you have any questions.
What is coaching?
Coaching is a specific process of interaction
over a period of time that encourages a shift in who you are, what you
do, and how you do it. This respectful, inquiring form of conversation
and listening expands your ability to make significant changes, move forward
in new areas and have more of what you want in your life. Coaching services
are not to be construed as, or a replacement for, psychotherapy, legal
counsel, or medical advice.
As your coach, you can expect us
to:
1. Commit to an open, honest, collaborative
coaching relationship
2. Be a partner in bringing out the best,
the deepest, and the truest in you
3. Provide safety, encouragement and support;
an environment in which you can relax and explore
4. Respect the confidentiality agreement
we make, to the extent permitted by law (in an organizational setting,
we will also clarify the extent of the confidentiality before beginning
the coaching relationship)
5. Expand your view of what is possible
and promote discovery of new insights
6. Give you input, straight feedback or
operate as a sounding board
7. Listen carefully to what you say and
ask questions to provoke awareness
8. Be a resource for you to use in accomplishing
your goals
We expect from you as our client to:
1. Cultivate a core honesty with yourself
2. Commit yourself to goals that are truly
meaningful and significant to you
3. Experiment with new approaches and
practice new behaviors
4. Provide ongoing feedback on whether
the coaching is valuable and meeting your needs
5. Be open to hearing my feedback and
letting me know whether it fits
6. Take ownership for your progress and
accomplishments
Nature of the coaching relationship:
You enter into coaching with the understanding
that you are responsible for creating your own decisions and results. You
agree not to hold us liable for any outcomes resulting directly or indirectly
from the coaching process.
Acceleration:
Several factors will speed up our work
together. As much as possible, come to each coaching session with a clear
agenda. Feel free to fax or e-mail that information ahead of time. Only
agree to action plans that you fully intend to carry out, and then do it!
If you are unable to follow through as you intended, be prepared to talk
about what got in the way, and how to best address that barrier so that
it does not continue to interfere with your positive momentum.
Payment:
We have agreed on a monthly fee of ______________.
This fee is payable in advance, due on the first of each month. It is important
to keep our financial agreement clean and clear. For mutual convenience
and simplicity, we encourage you to use the credit card authorization form.
This allows us to focus all of our attention on what’s most important—-your
goals.
Time:
We have agreed to _____ sessions per month,
each session lasting _____ minutes, for a period of ______ months. Make
our time together a priority. We will establish a set time each week, either
in person or on the telephone. You will call us at 780-430-0714 or 780-988-7949 for telephone
sessions unless other arrangements are made. If more time is needed in
a given month, that will be billed at $________ per hour with payment due
on the first of the next month. Coaching is not psychotherapy, and health
insurance will not cover coaching sessions.
Value added:
Sometimes you just cannot wait until your
next session. You may have a short question or request for feedback. You
may need a confidential response to some situation. As a value added, we
offer ou regular clients free telephone and e-mail consultations of fewer
than ten minutes between sessions, within reason.
Changes:
We have reserved your time for you. If the need
arises, please give us 24 hours notice and we will reschedule. Without proper
notice, scheduled time missed may be lost. We will notify you promptly if we
need to reschedule one of our meetings.
Preparation:
To ensure the most productive use of the
coaching time, come to each session prepared with an agenda. Take a few
minutes before our next session to sort out the progress you made this
week and to consider how you would like to use the upcoming session. Consider
any of the following questions or make up your own. You can fax or e-mail
your responses ahead of time, if you like.
1. What progress have I made since our
last session?
2. What challenges did I face? How did
I handle them? Which do I still need to handle?
3. What new insights or opportunities
have emerged?
4. On what would I like to focus this
next session?
Problems:
Honesty is a very important foundation.
Please do not be “nice” as a way to protect either one of us. We expect
you to honestly tell us what is working about the coaching relationship,
and what is not working for you. If we ever say or do something that upsets
you or does not feel right, please bring it up. We promise to do whatever
we can to have you be satisfied. Honesty and trust are critical for our
relationship to grow. We want this to be an open and safe place for you
to come with confidence.
Referrals:
Our practice fills by referrals. If you
are benefiting from our relationship, please suggest our services to appropriate
friends and colleagues, and let them know that we offer a free confidential
consultation.
I, _______________________________, have
read and agree to the above.
__________________________________________________________________________________
Client Signature
Date
_______________________________________________________________________________
Client Company Representative Signature
(if appropriate) Date
_______________________________________________________________________________
Coach Signature
Date
Client Information
Name: __________________________________________________________________
Home Address: ______________________________________________________
______________________________________________________
Business Title/Position: _____________________________________________________
Business Address: ______________________________________________________
______________________________________________________
Home Phone: ________________________ Business
Phone: _______________________
Home Fax: __________________________ Business
Fax: _________________________
E-mail: _____________________________ Cell
Phone: __________________________
In case of emergency, please notify: ____________________________________________
Relationship: ________________________
Phone: ______________________________
Who is responsible for payment? __________________________________________
To see the credit card authorization form, click
here.
To see a copy of the Coaching Intake Packet,
click
here.
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