请完成本表格并通过电邮回传到国际教练联合会ICFHeadq

1、ICF MEMBERSHIP WORLD BANK FORM* 世界银行国际教练联合会会员资格申请表*Please complete this form and return to ICF at (E-mail) 请完成本表格并通过电邮回传到国际教练联合会ICFH 传真 或 (Mail) 2365 Harrodsburg Rd., Suite A325, Lexington, KY 40504, 邮寄 有问题请拨打电话*For individuals who are residents of a World Bank middle to low income country.*适用于世界银行中

2、等到低收入国家居民的个人Date:日期First Name:名Last Name:姓Address:地址City:城市State/Province:州/省Zip Code:邮政编码Country:国家E-mail:电邮Web Site:网址Phone (day):电话（白天）Phone (evening):电话（晚间）Fax:传真Chapter Affiliation:区联络I give my consent to be contacted by a local chapter in matters related to the ICF. 我同意通过当地的国际教练联合会的区进行联系Please

3、 Initial:请大写Business Name:商业名称Coaching Type:教练类型Personal/Life个人/生活Corporate公司Years of Experience:经历年限Please Check One请选择其中之一 Less than one (1) year少于一年1-3 Years1-3年3-5 Years3-5年5-10 Years5-10年More than ten (10) years大于10年Coach Training:教练培训Please Check One请选择其中之一ICF Accredited Program国际教练联合会认可项目Non-

4、ICF Accredited Program非国际教练联合会认可项目No Formal Training非正式的培训To view the ICF Code of Ethics online visit 要浏览国际教练联合专业道德规范请上网浏览 Pledge of Ethics专业道德誓言As a professional coach, I acknowledge and agree to honor my ethical obligations to my coaching clients and colleagues 作为一名专业的教练，我承认并同意对于我教练的客户和同事及其广大公众负有道

5、德的责任。我起誓遵守国际教练联合会专and to the public at large. I pledge to comply with the ICF Code of Ethics, to treat people with dignity as independent and 业道德规范，把每个人作为独立和平等的人庄严地对待，并且为我教练的这些客户模仿这些标准。如果我违反本专业道德誓equal human beings, and to model these standards with those whom I coach. If I breach this Pledge of Eth

6、ics or any part of 言或国际教练联合会道德规范的任何一个部分，我同意国际教练联合会唯一可以慎重地让我为所做的事情负责。此外，我同the ICF Code of Ethics, I agree that the ICF in its sole discretion may hold me accountable for so doing. I further agree that 意，对于任何的违规行为，我对于国际教练联合会负有责任，可能包括取消我的国际教练联合会会员资格和/或我的国际教练my accountability to the ICF for any breach m

7、ay include loss of my ICF membership and/or my ICF credentials.I have read and agree to adhere to the Code of Ethics and the Ethical Conduct Review process.联合会资格证书。我已经阅读并同意遵守道德规范和道德举止检查程序。Please Initial:请大写 ICF MEMBERSHIP WORLD BANK FORM 国际教练联合会世界银行表格*For applicants that are residents of a World Ban

8、k middle to low income country.*适用于世界银行中等到低收入国家居民的个人Annual Membership: $150会员年费：150美元PAYMENT OPTIONS: (check one)付费选择：（选择其一） MC万事达卡VisaVisa卡American Express美国运通卡DiscoverDiscover 卡Check支票Credit Card #:信用卡卡号Expiration Date:有效期Name on Card:信用卡上姓名Signature:签名(if faxing or mailing)（如果传真或邮寄） Thank you for your continued interest in membership with the International Coach Federation. We look 谢谢你对国际教练联合会的会员资格的持续兴趣。我们期待与你共同工作在世界范围内增加教练的影响力。如有任何问题forward t