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Terms of Service

Sign Up As A Coach / Mentor AND Find Your Ideal Coach / Mentor

1. Do you have a coaching qualification?
1.1 Please provide the name of institution conferring the qualification?

2. Do you have a coaching accreditation?

3. Please provide the type/level of your formal coaching qualification

4. Have you ever Coached someone formally?
4.1 What are your coaching hours to date?

5. What are your coaching specialisations? You can select up to 3 options in order of priority.

6. Please upload your coaching qualification/accreditation certificate? Please note that by providing this certificate copy, you are giving us consent to confirm your qualification. *

Maximum upload size: 2MB

7. Which industries do you have the most experience in?

NB: Select up to a maximum of 3 industries, in order of prioritisation. Please provide number of years.
Industry 1
Industry 2
Industry 3

8. What are the functions you have the most experience in?

You are able to select up to a maximum of 3 functions (in order of priority)? Please provide number of years.
Function 1
Function 2
Function 3

9. Please select up to 3 aspects which you believe you could assist/advise/counsel would-be coachees on (in order of prioritisation). Alternatively, add the aspects you would like included.

10. Considering the Generation range which you currently fall into, which generations ranges are you willing to receive and accept Coaching requests from?

Select all that apply (hold down command or control to select more than one option.)

11. What number of coachees are you comfortably able to be Coaching, at any one time?

(250 words max)

13. Do you have a criminal record?
15. Have you ever been sequestrated/declared insolvent before?

16. Testimonials may actually enhance your chances of selection by prospective coachees. Please provide two (2) references for reference checks.

NB: References will only be taken if the coachee who selects you, insists on references being taken or existing references being confirmed, and you as the prospective mentor also consent. Referees will never be contacted without your consent.
First Reference
Maximum upload size: 2MB
Second Reference
Maximum upload size: 2MB
Maximum upload size: 5MB

1. Have you ever mentored someone/others before, either formally or informally?

3. Considering the generation range which you currently fall into, which generations ranges are you willing to receive and accept mentoring requests from?

4. Please select up to 3 aspects which you would like to mentor on (in-order of priority)

5. Which industries do you have the most experience in?

NB: Select up to a maximum of 3 industries, in order of prioritisation. Please provide number of years.
Industry 1
Industry 2
Industry 3

6. What are the functions you have the most experience in?

You are able to select up to a maximum of 3 functions (in order of priority)? Please provide number of years.
Function 1
Function 2
Function 3

7. What number of mentees are you comfortably able to mentor, at any one time?

LegacyXYZ seeks to protect its brand, its clients and service providers’ safety at all times. As such it is required that we substantiate all applications and the legitimacy thereof before approving the application. The following questions therefore fulfil that objective:

8. Do you have a criminal record?
10. Have you ever been sequestrated/declared insolvent before?

(250 words max)

References may actually enhance your chances of selection by prospective mentees. Please provide two (2) references for reference checks.

NB: References will only be taken if the coachee who selects you, insists on references being taken or existing references being confirmed, and you as the prospective mentor also consent. Referees will never be contacted without your consent.
First Reference
Maximum upload size: 2MB
Second Reference
Maximum upload size: 2MB
Maximum upload size: 5MB

1. Have you ever received coaching services before, either formally or informally?
3. Who is responsible for making payment for the coaching services?
if company, please enter name of the company.

4. Do you prefer to be coached by someone the same gender as you?

5. Do you prefer to be coached by someone the same race as you?

Preferred forms of Communication

*Please note that if you choose this option, the matching process will take into consideration the geographical location of your would-be coach.
6. What is/are your preferred form/s of communication?

Age of Coach

7. Given your coaching needs and/or your age profile, what age group would you prefer your Mentor to be from?

8. What type of Coaching do you need/require?

9. Please select up to 3 aspects which you believe you would like receive coaching on (in order of priority).

Priority 1
Priority 2
Priority 3

10. Which functions you would like your would-be Coach to have experience in. Please select up to 3 functions plus the preferred experience in number of years.

Function 1
Years of Experience
Function 2
Years of Experience
Function 3
Years of Experience

(250 words max)
1. Have you ever received mentoring services before, either formally or informally?
3. Who is responsible for making payment for the mentoring services?
if company, please enter name of the company.

4. Do you prefer to be mentored by someone the same gender as you?

5. Do you prefer to be mentored by someone the same race as you?

Preferred forms of Communication

*Please note that if you choose this option, the matching process will take into consideration the geographical location of your would-be mentor.
6. What is/are your preferred form/s of communication?

Age of Mentor

7. Given your mentoring needs and/or your age profile, what age group would you prefer your Mentor to be from?

8. What type of Mentoring do you need/require?

9. Please select up to 3 aspects which you believe you would like receive mentoring on (in order of priority).

Priority 1
Priority 2
Priority 2

10. Which functions you would like your would-be Mentor to have experience in. Please select up to 3 functions plus the preferred experience in number of years.

Function 1
Years of Experience
Function 2
Years of Experience
Function 3
Years of Experience

(250 words max)