🌸 Welcome to Your Soul-Based Innovation Coaching Journey

with Jen’s coaching and international community

You are about to take a powerful step into a new chapter — not only as a participant, but as a co-creator of the Rebirth Empowerment Coaching movement.

This program is more than certification. It is a soul-aligned, EMCC-accredited journey where you will blossom inside-out, integrate coaching with innovation, and build a purposeful career that creates impact daily.

Before completing this form, please:

Take a moment of gratitude for choosing this path.
Review the program details so you know the flow and expectations.
Reflect on your “Why” — the deeper purpose guiding you here.

Your application also serves as the first step in your portfolio for EMCC Practitioner accreditation. Every answer you provide helps us honor your unique background and co-design your learning journey.

🌍 Together with Jen and our global community of leaders, coaches, and innovators, you’ll step into a space where soul, science, and systems merge into one transformative journey of abundance.

🌿REBIRTH EMPOWERMENT COACHING -

Soul-Based Innovation Coaching – Practitioner Level

Submission Form (Application & Portfolio for Accreditation)

Section 1: General information

First Name

Last Name

Email

Section 2: Motivation & Alignment

What inspired you to join this program? (Your Why) What is your vision as a coach/leader in the next 3 years? How do you see soul, science, and systems coming together in your journey? (at least 1000 words)

Section 3: Coaching Training (Theory & Models)

Previous coaching training/qualifications (if any)

SIC alumni

Non-SIC alumni and having at least 20 hours of training on coaching/mentoring

Section 4: Practice Coaching (Client Hours)

Total practice coaching hours more than 20 hours

Regular practice of reflection weekly or daily

Section 5: Supervision, Masterclass

Having been supervised by an EMCC accredited coach

Having been attending a coaching session conducted by Having been supervised by an EMCC accredited coach

Section 6: Independent Study & Innovation Practice

Name 3 programs to deepen your professions that you have attended over the last 3 years. What you have learned about yourself? What you have applied in your life/bussiness/coaching? (At least 500 words)

Section 7: Professional Identity & Purposeful Career

Describe your unique coaching identity in 200 words: Draft your signature product/program What communities, ventures, or collaborations are you building?

Ethics

Describe a time you faced an ethical dilemma in coaching and how you resolved it. (at least 300 words)

Declaration

I declare that all information provided is true and accurate.

I commit to coaching practice with authenticity, service, and integrity.

I sign here with my name and my heart

(Thanks for your co-creation and congrats for completing the form.

Within 3–4 business days, you’ll receive a confirmation & next steps (including discovery call if needed).