Membership Application

Requirements:
The person applying identifies as a GBTQ man and works as a coach or in allied helping professions or uses coaching as a key component of their work.`

All the information you provide will be considered to be confldential and treated appropriately. None of the information you provide below will be published on the Alliance website unless you do so.
Please answer all questions where applicable.

 

First Name *First Name
Last Name *last name
Email *
Phone Number *
Please provide at least one website, social media or other web link so that identifies you by photo as well as a coach so that we can confirm you. For Example: Your Business Website, LinkedIn, FaceBook, etc. *
Other Weblink
How long have you been a coach? *
What is your coaching training? *
Do you currently work with a coach?*
Yes
No
Choose Your Membership Level: Standard Membership (I am new to coaching / or working as a part-time coach) Pro Membership (I am working as a coach as my main profession)*Standard Membership (I am new to coaching / or working as a part-time coach) Pro Membership (I am working as a coach as my main profession)
Standard Membership - $24.99/a quarter
Standard Membership - $75/a year (Pay once a year instead of quarterly and get a 25% discount)
Pro Membership - $49.99/a quarter (I am working as a coach as my main profession)
Pro Membership - $150/a year (Pay once a year instead of quarterly and get a 25% discount)
Request Member Sponsorship: I request a member sponsorship due to genuine financial hardship. GCA provides membership sponsor opportunities for individual membership. Sponsorships are based on available funds.

 

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