Application for Recorded Coaching Call

Thanks for your interest in applying to be coached for a demonstration. Please read the following before filling out the application.

This application is for volunteers who wish to be coached by Peter Bregman for demonstration purposes. The session (30 mins - 1hr) will be recorded, edited for clarity, and released as a promotional bonus to those who pre-order Peter Bregman's upcoming book, You Can Change Other People. If you do not want to be recorded - and have the recording shared - please do not apply.

During the session, you will be asked to explain your challenge/opportunity and Peter Bregman will coach you through the problem using methods from You Can Change Other People, as well as bring his 30+ year experience as a leadership coach.

Thank you and good luck!

Name*

First Last

Email*

Where are you located?*

City Country

Company*

Title*

Phone*

Website

What challenge/opportunity would you like to receive coaching for?*

Describe your challenge/opportunity.*

Why do you want to be coached by Peter Bregman?*

Is there anything else you'd like us to know about you?

Consent*

I understand that, if chosen to be coached, the session will be recorded and distributed as a bonus to those who preorder the book, You Can Change Other People.

I understand that I may be required to sign a release form, and failure to do so will result in forfeiting this opportunity.

I understand and agree

Application for Coaching Demonstration