Questionnaire:
Please be as candid and authentic with your answers as you possibly can.

• Date application and include name, address, phone number, and email address
• Education
• List schools, programs, trainings, certifications, etc. that have supported your growth and development
• Include the name of teaching/training institution, year/time attended, and a one to two sentence description of the program, its purpose and value to you.
• Professional Experience in one or more of the following fields:
• Educator, consultant (specific field) o Licensed Mental Health Worker,
• Coach
• Alternative Human Health Care
• Unique Experience, Skills, Connections
• Other Note: Specify the number of years of experience you have in each area and the particular nature of each category (e.g. High School teacher for ten years.)
• Horse Experience (Note: Horse experience is not necessary for this program, though it is desirable for instructors to know ahead of time what level of horse experience participants have.)
• Describe your attraction to the field of Coaching. Why are you attracted to the Professional and Life Coach Training Program at Epona?
• Given the requirements and energetic demands of the Coaching Skills through Horse Wisdom, describe how you will integrate it with your personal and work life during the nine months of training.
• Describe your current business or plans for a business right now
• What do you love most about your business today (or the thought of your own business)?
• What do you love most about your clients today?
• If you found Aladdin’s Lamp and could have 3 wishes right now that would manifest your perfect client what would they be?
• When you look 3 years into the future – what are the secret desires for your business that you haven’t even dared to articulate yet—and what kind of clients are you serving?
• When you make a decision do you:

____ make it quickly?
____ think about it, analyze pros / cons then decide?
____ analyze for weeks or months before making a commitment?

• What currently holds you back from achieving the level of financial and spiritual success you want in your business?
• Is there anything you believe you have to give up to create vibrant success in your life and business?
• Do you have any other commitments that you believe could keep you from being 100% successful in this program? This could be a job, community service, board commitments, family, etc…
• On a scale of 1 – 10 please rate the following questions (1 being “not at all”, 5 being “somewhat” and 10 being “yes”!)
• How willing and committed are you to this program, doing whatever it takes, being in integrity with your commitments and supporting your colleagues? _____
• If accepted into the program will you be able to commit to the fee without undue stress? _____

NOTE: The specific payment options are given on the enrollment form. (Remember, your application does not commit you in any way to the program).

• My business and financial situation is:

____ I am still struggling to make a profit. I’m not creating the cash flow I know is possible and I’m ready for this to change.
____ I am doing all right. My cash flow is up and down from month to month. I know there is more I can do to change the situation but I’m not sure what.
____ I am making a living. My cash flow is consistent but I’m not satisfied with how much revenue my business is generating. I know there is more opportunity I haven’t tapped into yet.
____ I am successful and thriving. I create enough income each month to take care of my financial needs, although I am working harder than I would like in order to keep creating this level of income.

• If accepted into any module of the Equine Assisted Coach Training Program, what are the top 3 goals you want to be excited and happy about having accomplished at the end our 9-MONTH time together.
• Briefly describe why you should be selected for this exclusive opportunity to be mentored and coached by us and the amazing team we’ve assembled for this program…