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I acknowledge that my electronic signature on this Declaration of Integrity attests that I understand and certify that the following statements are true and correct.

I pledge that the evidence of my training, coaching experience and Continuing Professional Development (CPD), which I have submitted to gain my Accreditation/Professional status by the IIC&M, is honest and genuine.

I have read the IIC&M’s Statement of Standards and Ethics.  I undertake to comply with this statement, to honour the obligations it places upon me, and to act with integrity in all my dealings with the IIC&M, the coaching community, my coaching clients, and to the general public.

If as an Accredited or Professional Coach I am found not to meet these requirements, I agree that the IIC&M in its sole discretion may hold me accountable for my conduct and that noncompliance may result in loss of accreditation and a loss of my membership of the IIC&M. The process to verify this is defined in the IIC&M’s Complaints Procedure.

I confirm that I have no adverse legal actions taken or pending against me as a coach or against my coaching business.

I confirm that my accreditation with the IIC&M remains with me as long as my membership is valid. I agree that where I do not submit my CPD requirements that I will represent myself as an Accredited Coach (IIC&M) and not as a Profession Coach (IIC&M) always using the right designation to represent my status.

I confirm that my professional status with the IIC&M remains with me as long as my membership is valid and I continue to uphold by CPD.  I agree that I will represent myself as a Professional Coach (IIC&M) always using the right designation to represent my status.

I confirm that the Testimonials provided as part of my Accreditation application are released from their confidentiality agreement with myself, whether explicit or implied, but only for the purposes of validating my coach training and experience.

I accept that the IIC&M will maintain full confidentiality when verifying my training and experience as a Coach, during the Accreditation and Professional coaching processes.

I accept that in line with the Coaching Industry, the IIC&M may change or modify the requirements for my Accreditation/Professional Status at any time. In line with these changes, I accept that the IIC&M will honour my accreditation/professional status awarded and will not impact this with any changes made.

I confirm that the total Accreditation Application fee is non-refundable.

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Date: the date on the Declaration of Integrity email submitted by this form is the date on which this Declaration of Integrity is signed.

I acknowledge that my electronic signature on this Declaration of Integrity attests that

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Issue 3: July, 2013