Charter KII™ Partner Application

Thank you for your interest in becoming KII™ Certified and a Charter KII™ Partner! Please complete the application form below. If you have any technical or other difficulties we are happy to assist. Please contact us at support@karen-keller.com.

Contact Information

First Name *

Last Name *

Street Address (Line 1) *

Street Address (Line 2)

City *

State

ZIP Code

Country

Phone Number

Phone Number *

Phone Type *

Email address *

Organization *

Position/Title *

Company Size *

Industry *

How did you hear about the KII™? *

Training and Background

Years of Training *

What specific training have you had in your field? *

What professional organizations do you participate in or are a member of? *

What awards or recognitions have you received in your career? *

What types of clients do you work with? *

Do you spend a majority of your time one-on-one or in group consulting, coaching or training clients in your business? *

Share 2 ways of how your efforts added value to an individual/organization. *

Philosophy

Outline your method/approach/style of consulting/coaching/training. *

How do each of these relate to your performance and the outcomes for your client? Please provide examples, if applicable. How do you conduct feedback and progress sessions? *

Additional Information

Are you currently utilizing assessments? *

Yes

How do you plan to use the KII™ Assessment? *

List two references that can speak to your role in their professional/personal development either as an individual or organization. Click here for a sample email to use or send them to the form directly: http://karen-keller.com/certification/reference-form.

Upload your resume and/or curriculum vitae (if applicable) here.

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.

Please let us know any comments or questions that you might have.

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Charter KII™ Partner Application

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