PIVOTx Global Coaches Academy Application

Contact Information

First Name *

Last Name *

Phone *

Email *

Address *

Street Address

City

State

Country

Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Cote D"Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic Of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea People's Democratic Republic
Republic of Korea
Kuwait
Kyrgyzstan
Land Islands
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
North Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Federated States of Micronesia
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Eswatini
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
UK
Ukraine
United Arab Emirates
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
No elements found. Consider changing the search query.
List is empty.

Postal Code

Time Zone *

LinkedIn URL

Professional & Agile Background

Current Role/Industry *

Years of Professional Experience *

Years of Professional Experience

0-3
4-7
8-12
13+
No elements found. Consider changing the search query.
List is empty.

Agile/Scrum/SAFe Experience

Facilitation & Leadership Experience

Have you facilitated structured meetings or workshops? *

Yes
No
Option 3
No elements found. Consider changing the search query.
List is empty.

Have you mentored or coached professionally? *

Yes
No
No elements found. Consider changing the search query.
List is empty.

Describe your leadership or coaching style. *

Describe a time you helped resolve team conflict. *

Upload Resume (Strongly recommended)

Commitment & Level of Effort

Estimated Commitment:

Weekly live session (2 hrs)
Weekly sprint ceremony (2 hrs)
Independent work (3-5 hrs)

Are you willing to commit 6-10 hours per week for 8 weeks? *

Yes
No
No elements found. Consider changing the search query.
List is empty.

On a scale of 1-5, how confident are you that you can sustain this commitment? *

1 not confident
2
3
4
5 fully confident
No elements found. Consider changing the search query.
List is empty.

Available Certification Pathways

All PIVOTx Coaches must hold an Agile certification. Participants may choose one of the following certification pathways:

SAFe Scrum Master (SSM)
Training: $300 USD
Certification Exam: $200 USD

SAFe Product Owner / Product Manager (POPM)
Training: $500 USD
Certification Exam: $200 USD

Certification exams are taken following completion of training.
Exam fees must be paid at the start of the final training Sprint.

Note: The certification exam is an option offered to cohort members who meet the minimum requirements for testing. This opt in will be offered during the academy and paid at that time.

Note: The certification test is an option offered to cohort members who meet the minimum requirements for testing. This opt in will be offered during the academy and paid at that time.

Which certification pathway are you most interested in? *

SSM
POPM
Undecided
No elements found. Consider changing the search query.
List is empty.

Are you prepared to invest at the applicable rate upon acceptance? *

Yes
No
Requesting scholarship consideration (documentation will be required)
No elements found. Consider changing the search query.
List is empty.

Agreements

Select all *

I understand certification is contingent upon demonstrated readiness and a $200 USD additional testing fee is required.

I understand this is a leadership pathway, not a volunteer position.

I commit to professional standards and disciplined execution.

How did you hear about Built4Agility and/or this program *

Built4Agility
R'Air Vision
Cops Who Care
Other (please indicate in next field)
No elements found. Consider changing the search query.
List is empty.

Other

By submitting this form, you consent to receive communications from Built4Agility, including text messages related to your inquiry. Message and data rates may apply. You can opt out anytime. I also consent to photo/video capture and allow Built4Agility to use my image. Terms & Conditions and Privacy Policy.