Payment received – please send Enrollment Details

Welcome to Symbiosis!

Your payment has been received – thank you for your enrollment. In order that we may complete your enrollment, please fill out the following form.

PLEASE NOTE THE TIME ZONES WHEN YOU CHOOSE YOUR CLASS TIMINGS!

“ET” is US Eastern Time (New York). “PT” is US Pacific Time (Los Angeles) time. “IST” is India time (Mumbai).

All details about the class, login etc. will be sent to you in an email a couple of days before your class begins. Please note that the 8:00pm time slot – ET, PT, and IST – is fixed. So when the US turns its clock back by an hour on November 1st, the 5:30am IST start time will change to 6:30am IST, the 8:30am IST start time will change to 9:30am, and 10:30am ET/7:30am PT start time will change to 9:30am ET/6:30am PT. The 8:00pm start times will not change for any time zone.

Once this form is successfully submitted, you will receive instructions on how to setup Zoom for your class. If you do not see this email, it has probably ended up in your Spam or Junk or Deleted folders – please retrieve it from there.

Title*

First Name*

Middle Name

Last Name*

Program(s) enrolled for*

Certified Life Coach (CLC)Certified Executive Coach (CEC)Certified Organizational Development Coach (CODC)Certified NLP Coach Practitioner (CNLPCP)Certified Master Spirit Life Coach (CMSLC)ACC PlatinumPCC Platinum

Preferred CLC Class Schedule*

Preferred CEC Class Schedule*

Preferred CODC Class Schedule*

Preferred CNLPCP Class Schedule*

Preferred Mentoring Schedule* (Platinum)

Primary Contact Email*

Primary Contact Telephone*

Full Address (please include city, state, zip code, and country)*

Program	Start Date	Class Times	Class Schedule
Certified Life Coach	Tuesday, September 13th	8:00pm ET 8:00pm PT 8:00pm IST (10:30am ET)	Once a week, 2-hours, for 24-weeks
Certified Organizational Development Coach	Monday, October 24th	8:00pm ET 8:00pm IST (10:30am ET)	Once a week, 2-hours, for 25-weeks
Certified Executive Coach	Thursday, October 20th	8:00pm ET 8:00pm IST (10:30am ET)	Once a week, 2-hours, for 8-weeks
Certified NLP Coach Practitioner	Wednesday, September 28th	8:00pm ET 8:00pm IST (10:30am ET)	Once a week, 2-hours, for 25-weeks
Platinum - ACC/PCC Mentoring	Friday, September 16th	8:00pm ET 8:00pm IST (10:30am ET)	Once every other week, 1-hour for 6-sessions PLUS 4 one-on- one sessions with mentor