Please indicate:

New Application
Renewal Application

Name:

Tel / Mobile:

Email address:

Profession:

Company Name:

Current involvement in coaching:

Full Time
Part Time
Not yet

Where did you hear about the HKICC?

What would you like to gain from joining the HKICC?

Membership category you would like to join

Professional    Associate    Regular

Membership type

Individual   Corporate

If you selected Corporate Membership, how many delegates do you want to have included?

For all member categories - would you like your/your company contact details and logo (logo only for corporate members) included in the on-line Membership list?

Yes     No

For Professional members only – would you like to post your company logo in the coach Directory?

Yes     No

For Corporate Professional members only – would you like to post your company logo in the coach Directory?(HK$200 extra cost for Individual Professional members, included for Corporate Professional members)

Yes     No

Have you read and do you agree to abide by the HKICC Coaching Standards?

Yes     No