Mentor Coaching Registration & Payment — Joanne Wong Blackerby, MCC

Mentor Coaching Agreement & Payment — Joanne Wong Blackerby, ICF MCC

Welcome. Use this form to register and pay for mentor coaching with Joanne Wong Blackerby, ICF MCC. All sessions are one-to-one and up to 75 minutes. After you register and pay, you'll book your session time using my TidyCal scheduling link (provided on the confirmation page). Questions? Email jb@claritycoach.me.
Registrant Information
Full Name

First NameMiddle NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Credentialing and Coaching Focus
Current credential status
Our Agreement — Roles & Responsibilities
Purpose: This agreement covers mentor coaching provided by Joanne Wong Blackerby, ICF MCC and ICF Mentor Coach Specialist (ACC, PCC, MCC), for developmental feedback aligned to the ICF Core Competencies.

It is not a guarantee of credential approval.

My responsibilities as your mentor coach:
I will provide developmental, evidence-based feedback aligned to the ICF Core Competencies; review your submitted recording and complete my observation documentation before each observed session; hold our work in confidence; practice in line with the ICF Code of Ethics; and, for pathway engagements, maintain the cumulative documentation of your mentor coaching hours.

Your responsibilities as mentee:

You will obtain written permission from your coaching client before recording or sharing any session; submit your recording and transcript through RaeNotes to jb@claritycoach.me at least 48 hours before each session; complete your pre- and post-session reflections; schedule and attend your sessions through TidyCal; and engage honestly and on time.

Scheduling: All sessions are booked and managed through TidyCal (tidycal.com/jo-blackerby). Each session is up to 75 minutes.

Cancellation policy: Please reschedule through TidyCal at least 24 hours in advance. Sessions cancelled with less than 24 hours notice, or missed without notice, are forfeited.

Payment and refunds:

Payment is due at registration. Fees are non-refundable, but unused sessions may be transferred as credit toward future sessions.

For ICF credentialing, ICF requires 10 hours of mentor coaching over a minimum of three months.

Confidentiality and ethics: What you share is confidential, within the limits of the ICF Code of Ethics and applicable law. I may use anonymized, de-identified observations for my own professional development and supervision.
Agreement & Signature
I have read, understand, and agree to the roles, responsibilities, and terms of this Mentor Coaching Agreement.
Signature (type your full legal name)
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate

Choose your mentor coaching package.

Individual Mentor Coaching Session

One focused session for coaches who want one focused session for a specific question, recording review, or developmental edge

$425.00

Mentor Coaching Package ( 3 sessions)

Targeted support for coaches who want targeted support without committing to a full pathway

$1,200.00

Mentor Coaching Series ( 5 sessions)

Deeper developmental support for coaches who want deeper developmental support across multiple recordings or competencies

$1,900.00

Mentor Coaching Pathway ( 10 hours)

Full ICF-aligned process for coaches completing a full ICF-aligned mentor coaching process or seeking sustained developmental feedback

$3,600.00

Total

Payment Methods

Credit Card

ACH Bank Transfer

Afterpay

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Mentor Coaching Agreement & Payment — Joanne Wong Blackerby, ICF MCC

Registrant Information

Credentialing and Coaching Focus

Our Agreement — Roles & Responsibilities

Agreement & Signature

Choose your mentor coaching package.*

Payment Methods

Choose your mentor coaching package.