2016 Nomination Application
All nomination submissions must use this nomination form. More information on the PRISM
2016 Award Event and nomination process can be found online at www.icfvancouver.ca
NOMINATION DEADLINE:
Email your completed form to [email protected] by
5 p.m. Pacific, Friday, August 19, 2016.
Nominations Form Instructions
Parts 1 and 2 to be completed by the Coach Nominee
Part 3 to be completed by the Client
Table of Contents
Part 1 – Nominations Form: Demographics ............................................................................ 2
Award Category .................................................................................................................................................................................... 2
Coach Nominee Information .......................................................................................................................................................... 2
Client Information................................................................................................................................................................................. 2
Part 2 – Detailed Evaluative Criteria ......................................................................................... 3
Snapshot of the Coaching Initiative ............................................................................................................................................ 3
Details and Examples Coaching Initiative ............................................................................................................................... 3
STANDARDS ................................................................................................................................................................................... 4
STRATEGY ....................................................................................................................................................................................... 4
SUSTAINABILITY .......................................................................................................................................................................... 5
IMPACT ............................................................................................................................................................................................... 5
Part 3 – Client Impact Statement & Release ............................................................................ 6
Client Impact Statement ................................................................................................................................................................... 6
Client Release ....................................................................................................................................................................................... 7
PRISM 2016: The Future is Coaching
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2016 Nomination Application
Part 1 – Nominations Form: Demographics
Award Category
Please check the award category that you are submitting this nomination for.
☐ Life Coaching
☐ Business Coaching
Coach Nominee Information
Please provide contact details for the coach being nominated (must be an ICF Credentialed
Coach with an up-to-date membership and be in good standing):
Name:
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Business Name:
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Phone:
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ICF Membership Number:
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ICF Credential:
Email:
☐ ACC
☐ PCC
☐ MCC
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Client Information
Please provide information about the client.
Date Coaching Initiative was implemented:
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Client Name:
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Location of Client (Must be in British Columbia):
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Current Status of Coaching Initiative
(completed, ongoing, expanding and ongoing, etc.
Coaching Initiative must have been active within
the last 24 months):
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During the nomination review process, the panel of judges may contact the Coach Nominee or the Client
to provide additional, clarifying information about the coaching initiative including participant testimonials
if required.
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2016 Nomination Application
Part 2 – Detailed Evaluative Criteria

Coach of the Year Judges will not be informed of the name of the Coach Nominee or Client
Name when judging the nomination including the evaluative criteria.

For the remaining sections of this Nomination Form we ask that you refrain from identifying
the proper name of Coach Nominee, Client or anyone associated with the coaching
initiative. Rather, please provide anonymous references (e.g. the coach, the client, etc.).

The nomination form will be returned to you for editing if identifying names are referenced in
the following sections.

If you choose to answer the questions below on a separate document, please ensure the
Coach Name is clearly stated on the top of every page, including page numbers in the
format “Page * of * ”.
Snapshot of the Coaching Initiative
1. As the Coach Nominee, please describe why you feel that you, through this coaching
initiative, should be recognized for an ICF Vancouver Coach of the Year Award (250 words
or less):
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2. Please describe the general scope of the coaching initiative (250 words or less):
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Details and Examples Coaching Initiative
These Awards require applicants to demonstrate how their coaching initiative meets four key areas:
a. Standards
b. Strategy
c. Sustainability
d. Impact
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2016 Nomination Application
STANDARDS
Provide examples of how the coaching initiative was developed in a way that would highlight a
commitment to rigorous professional standards, industry excellence or best practices within
organizational coaching. Examples could include, but not be limited to, the following (500 words
or less):

Coaching initiative utilizes coaches who hold an ICF Credential

Professional contracts were used

Coaches involved in the initiative have been offered coach mentoring/coaching supervision

ICF Code of Ethics has been discussed with client and adhered to; in particular, confidentiality has
been preserved in coaching conversations

Clear rationale for using coaching as the preferred solution.
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STRATEGY
Provide specific examples of how goals, priorities or needs have/are being addressed through
the coaching initiative. Examples could include, but not be limited to, the following (500 words or
less):

Coaching initiative aligns with goals, values, or behaviors

Coaching initiative has proven to be adaptable and has evolved to serve client needs

Coaching has become a fundamental element to the client’s success.
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2016 Nomination Application
SUSTAINABILITY
Provide examples of how coaching has become embedded into the client’s lifestyle or identify
any plans to develop/expand the coaching initiative further. Examples could include, but not be
limited to, the following (500 words or less):

Coaching has become positioned as a preferred solution when compared to other modalities

Coaching shows long-term resilience in ongoing success of the client

The client’s outlook, attitudes, behaviours, or skills have changed positively resulting from the
coaching.
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IMPACT
Provide any observable and measureable details that underscore the value, influence or
effectiveness of the coaching initiative. Examples could include, but not be limited to, the
following (500 words or less):

Any metrics, statistics, or data from evaluations or measurement tools used

The client provides positive testimonials that demonstrate the breadth and/or depth of coaching
initiative

Client indicators provided that validate increased levels of engagement and well-being (e.g.
decreased stress, increased resilience, goal attainment)

Return on Expectations (ROE) measurements provided for non-monetary client goals that were
identified before coaching initiative was implemented.
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2016 Nomination Application
Part 3 – Client Impact Statement & Release
(To be completed by the Client)
Client Impact Statement
As the Client, please describe the impact that the coaching had on you. Please include goals
on the onset, the use of contracts, references to confidentiality, tools and methods used to
support you, impact on you personally, impact on those around you, what worked well for you in
the coaching, etc. (500 words or less):
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Client Declaration of Impact Statement
I verify that the above statement is accurate and was written solely by me and in my own words.
Client Signature: ________________________________
PRISM 2016: The Future is Coaching
Date: Click or tap to enter a date.
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2016 Nomination Application
Client Release
I hereby authorize the Vancouver ICF Chapter permission in perpetuity, to share my name and
my coaching story with the community through media, social media, marketing, other modes of
communication, and at the Awards Event.
☐ Agree to share my name and my coaching story
☐ Agree to share my coaching story but have my name remain anonymous
Client Signature: _______________________________ Date: Click or tap to enter a date.
NOMINATION DEADLINE:
Email your completed form to [email protected] by
5 p.m. Pacific, Friday, August 19, 2016.
For questions please contact the PRISM Committee at [email protected]
We thank you for your efforts and your interest in
celebrating coaching successes!
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