bettercoach.io
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80.158.39.61
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URL:
https://bettercoach.io/
Submission: On February 22 via manual from US — Scanned from DE
Submission: On February 22 via manual from US — Scanned from DE
Form analysis 5 forms found in the DOM
POST /sales_leads?locale=en
<form role="form" class="simple_form customForm" autocomplete="off" data-locale="en" novalidate="novalidate" id="new_sales_lead" action="/sales_leads?locale=en" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input
type="hidden" name="authenticity_token" value="NcN6aCkzA4j/PQjt2OP6QsGvJK8PwHJ8BpKgxfzDDRjjItdb0PuKOgYB5uLSR7aIZfrRcclzH6la5wQyAvi5Mw==">
<div class="step step1 visible" data-step="step1">
<div class="formHeader">
<div class="row">
<div class="col-md-10 col-xs-10">
<span class="stepHeadline">
<strong>Your demo</strong>
</span>
</div>
<div class="col-md-2 col-xs-2">
<a href="javascript:void(0)" class="closeBtn white">×</a>
</div>
</div>
<div class="row">
<div class="col-md-12 col-xs-12">
<div class="custom-progress-wrap custom-progress" data-progress-percent="50" data-progress-percent-from="50">
<div class="custom-progress-bar custom-progress"></div>
</div>
<span class="stepCount white">1 / 2</span>
</div>
</div>
</div>
<div class="formContent">
<p class="white formText">Just a few details and we will schedule a demo at a time that suits you.</p>
<ul class="parsley-errors-list filled customErrors"></ul>
<h3 class="sales_lead_title">Your details</h3>
<div class="row">
<div class="col-md-6 col-xs-6">
<div class="form-group">
<label class="sales_lead_label" for="sales_lead_first_name">First name</label>
<input class="form-control" required="required" type="text" name="sales_lead[first_name]" id="sales_lead_first_name">
</div>
</div>
<div class="col-md-6 col-xs-6">
<div class="form-group">
<label class="sales_lead_label" for="sales_lead_last_name">Last name</label>
<input class="form-control" required="required" type="text" name="sales_lead[last_name]" id="sales_lead_last_name">
</div>
</div>
</div>
<div class="row">
<div class="col-md-6 col-xs-6">
<div class="form-group">
<label class="sales_lead_label" for="sales_lead_company">Company</label>
<input class="form-control" required="required" type="text" name="sales_lead[company]" id="sales_lead_company">
</div>
</div>
<div class="col-md-6 col-xs-6">
<div class="form-group">
<label class="sales_lead_label" for="sales_lead_email">Email</label>
<input class="form-control" required="required" type="email" name="sales_lead[email]" id="sales_lead_email">
</div>
</div>
</div>
<div class="row">
<div class="col-md-6 col-xs-6">
<div class="form-group">
<label class="sales_lead_label" for="sales_lead_phone_number">Telephone</label>
<input class="form-control" required="required" type="text" name="sales_lead[phone_number]" id="sales_lead_phone_number">
</div>
</div>
<div class="col-md-6 col-xs-6">
<div class="form-group">
<label class="sales_lead_label" for="sales_lead_appointment">Preferred time slot</label>
<input class="form-control appointmentDate" required="required" type="text" name="sales_lead[appointment]" id="sales_lead_appointment">
</div>
</div>
</div>
<div class="row">
<div class="col-md-6 col-xs-6">
<div class="form-group">
<label class="sales_lead_label" for="sales_lead_preferred_language_cd">Preferred language</label>
<select class="form-control" required="required" name="sales_lead[preferred_language_cd]" id="sales_lead_preferred_language_cd">
<option value="">- Please select -</option>
<option value="0">English</option>
<option value="1">German</option>
</select>
</div>
</div>
</div>
<div class="row">
<div class="col-md-6 col-xs-6">
<div class="form-group mg-0 registerCaptcha">
<div class="verify-registration" id="verify-demo-registration"> </div>
<ul class="parsley-errors-list captcha-error">
<li class="parsley-required"> Please verify that you are not a robot. </li>
</ul>
</div>
</div>
</div>
<div class="twoAdjustentButtons">
<input type="submit" name="commit" value="Book" class="btn btn-primary btn-md bookDemoBtn">
</div>
</div>
</div>
<div class="step step2" data-step="step2">
<div class="formHeader">
<div class="row">
<div class="col-md-10 col-xs-10">
<span class="stepHeadline">
<strong>Your demo</strong>
</span>
</div>
<div class="col-md-2 col-xs-2">
<a title="close" class="closeBtn pull-right" href="javascript:void(0)">
<img alt="close" src="/assets/dashboard/coachee/close-cd67847ffd9a65aa4a32484c858d6f598c626466ba2f9c1269625c643bedac30.svg">
<span class="sr-only">Close dialog</span>
</a>
</div>
</div>
<div class="row">
<div class="col-md-12 col-xs-12">
<div class="custom-progress-wrap custom-progress" data-progress-percent="100" data-progress-percent-from="50">
<div class="custom-progress-bar custom-progress"></div>
</div>
<span class="stepCount white">2 / 2</span>
</div>
</div>
</div>
<div class="formContent">
<p class="white formText"> Thank you for your enquiry. We will contact you at you chosen time. </p>
<div class="twoAdjustentButtons">
<button class="btn btn-primary btn-lg btn-block salesLeadFinishButton" data-redirecturl="https://bettercoach.io/?locale=en"> To homepage </button>
</div>
</div>
</div>
</form>POST /login/do?locale=en
<form action="/login/do?locale=en" method="post">
<input type="hidden" name="authenticity_token" id="authenticity_token" value="NcN6aCkzA4j/PQjt2OP6QsGvJK8PwHJ8BpKgxfzDDRjjItdb0PuKOgYB5uLSR7aIZfrRcclzH6la5wQyAvi5Mw==">
<ul class="parsley-errors-list filled customErrors"></ul>
<div class="form-group">
<input class="form-control" name="email" placeholder="Email address" required="required" type="email" value="">
</div>
<div class="form-group">
<input class="form-control" name="password" placeholder="Password" required="required" type="password">
</div>
<div class="form-group">
<input checked="checked" class="form-control css-checkbox" id="remember" name="remember" type="checkbox" value="1">
<label class="css-label lite-blue-check" for="remember" style="color:white;">Remain signed in</label>
</div>
<button class="btn btn-primary btn-lg btn-block mgb-20 submitButton">Login</button>
<!-- %div link_to t('controllers.login.form.coach_forget_password_btn'), new_coach_password_path, class: "a-white" -->
<!-- %div link_to t('controllers.login.form.company_forget_password_btn'), new_company_password_path, class: "a-white" -->
<div><a class="a-white" href="/reset_password?locale=en">Forgot password?</a></div>
</form>POST /companies?locale=en
<form role="form" class="simple_form customForm registerCompanyForm" data-locale="en" novalidate="novalidate" id="new_company" action="/companies?locale=en" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input
type="hidden" name="authenticity_token" value="NcN6aCkzA4j/PQjt2OP6QsGvJK8PwHJ8BpKgxfzDDRjjItdb0PuKOgYB5uLSR7aIZfrRcclzH6la5wQyAvi5Mw==">
<ul class="parsley-errors-list filled customErrors"></ul>
<div class="form-group">
<label for="company_gender">Title</label>
<select class="form-control" required="required" name="company[gender]" id="company_gender">
<option value=""></option>
<option value="male">Mr</option>
<option value="female">Ms</option>
<option value="mx">Mx</option>
</select>
</div>
<div class="row">
<div class="col-md-6 col-xs-6">
<div class="form-group">
<label for="company_name">First name</label>
<input class="form-control" required="required" type="text" name="company[name]" id="company_name">
</div>
</div>
<div class="col-md-6 col-xs-6">
<div class="form-group">
<label for="company_name">Last name</label>
<input class="form-control" required="required" type="text" name="company[surname]" id="company_surname">
</div>
</div>
</div>
<div class="form-group">
<label for="company_phone_number">Phone</label>
<input class="form-control" minlength="3" required="required" type="text" name="company[phone_number]" id="company_phone_number">
</div>
<div class="form-group">
<label for="country">Country</label>
<select name="country" id="country" class="form-control js-reinit-geo" required="required">
<option value="AF">Afghanistan</option>
<option value="AX">Aland Islands</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua and Barbuda</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BY">Belarus</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia</option>
<option value="BA">Bosnia and Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="BQ">British Antarctic Territory</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="VG">British Virgin Islands</option>
<option value="BN">Brunei</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="CT">Canton and Enderbury Islands</option>
<option value="CV">Cape Verde</option>
<option value="KY">Cayman Islands</option>
<option value="CF">Central African Republic</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo - Brazzaville</option>
<option value="CD">Congo - Kinshasa</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="NQ">Dronning Maud Land</option>
<option value="DD">East Germany</option>
<option value="TL">East Timor</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="ET">Ethiopia</option>
<option value="QU">European Union</option>
<option value="FK">Falkland Islands</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="FQ">French Southern and Antarctic Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option selected="selected" value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GG">Guernsey</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard Island and McDonald Islands</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IM">Isle of Man</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="CI">Ivory Coast</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JE">Jersey</option>
<option value="JT">Johnston Island</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Laos</option>
<option value="LV">Latvia</option>
<option value="LB">Lebanon</option>
<option value="LS">Lesotho</option>
<option value="LR">Liberia</option>
<option value="LY">Libya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macau</option>
<option value="MK">Macedonia</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="FX">Metropolitan France</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia</option>
<option value="MI">Midway Islands</option>
<option value="MD">Moldova</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="AN">Netherlands Antilles</option>
<option value="NT">Neutral Zone</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="KP">North Korea</option>
<option value="VD">North Vietnam</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="QO">Outlying Oceania</option>
<option value="PC">Pacific Islands Trust Territory</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestinian Territory</option>
<option value="PA">Panama</option>
<option value="PZ">Panama Canal Zone</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="YD">People's Democratic Republic of Yemen</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Reunion</option>
<option value="RO">Romania</option>
<option value="RU">Russia</option>
<option value="RW">Rwanda</option>
<option value="BL">Saint Barthélemy</option>
<option value="SH">Saint Helena</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="MF">Saint Martin</option>
<option value="PM">Saint Pierre and Miquelon</option>
<option value="VC">Saint Vincent and the Grenadines</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome and Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="CS">Serbia and Montenegro</option>
<option value="RS">Serbien</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia and the South Sandwich Islands</option>
<option value="KR">South Korea</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syria</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania</option>
<option value="TH">Thailand</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks and Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="PU">U.S. Miscellaneous Pacific Islands</option>
<option value="VI">U.S. Virgin Islands</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="SU">Union of Soviet Socialist Republics</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US">United States</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="ZZ">Unknown or Invalid Region</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VA">Vatican</option>
<option value="VE">Venezuela</option>
<option value="VN">Vietnam</option>
<option value="WK">Wake Island</option>
<option value="WF">Wallis and Futuna</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
</select> *
</div>
<div class="form-group">
<label for="company_complete_address">Address</label>
<span class="info-help-tool help-tool red-tooltip" data-toggle="tooltip" data-placement="top" title="" data-original-title="Please write the name of the location in English to help our matching team find the best match for you.">?</span>
<input class="form-control companyFullAddress" placeholder="Straße, Nr., PLZ, Ort" required="required" type="text" value="" name="company[complete_address]" id="company_complete_address">
<div class="companyHiddenAddressDetails">
<input type="hidden" name="location_error_text" id="location_error_text" value="Please select a city from the list.">
<input data-geo="locality" type="hidden" name="company[city]" id="company_city">
<input data-geo="administrative_area_level_1" type="hidden" name="company[administrative_area1]" id="company_administrative_area1">
<input data-geo="administrative_area_level_2" type="hidden" name="company[administrative_area2]" id="company_administrative_area2">
<input data-geo="route" type="hidden" name="company[street]" id="company_street">
<input data-geo="street_number" type="hidden" name="company[street_number]" id="company_street_number">
<input data-geo="postal_code" type="hidden" name="company[zip]" id="company_zip">
</div>
</div>
<div class="form-group topMargin">
<label for="company_title_en">Company name</label>
<input class="form-control" placeholder="z.B. Mustergesellschaft mbH" type="text" name="company[title_en]" id="company_title_en">
</div>
<div class="form-group">
<label for="company_industry">Industry of the company</label>
<select class="form-control" name="company[industry]" id="company_industry">
<option value=""></option>
<option value="architektur">Architecture and construction</option>
<option value="kunst">Art, culture and sports</option>
<option value="wirtschaftsprüfung">Auditing, Taxes and Law</option>
<option value="automobil">Automobile and vehicle construction</option>
<option value="banken">Banks, financial services and insurance</option>
<option value="chemical">Chemical Industry</option>
<option value="beratung">Consulting</option>
<option value="konsumguter">Consumer goods and trade</option>
<option value="energie">Energy, water and environment</option>
<option value="gesundheit">Health and social</option>
<option value="internet">Internet and information technology</option>
<option value="maschinen">Machinery and production</option>
<option value="marketing">Marketing, PR and Design</option>
<option value="medien">Media and publishers</option>
<option value="erziehung">Parenting, education, science</option>
<option value="personaldienstleistungen">Personal Services</option>
<option value="pharma">Pharmaceutical and medical technology</option>
<option value="offentlicher">Public service, associations and institutions</option>
<option value="immobilien">Real estate</option>
<option value="telekommunikation">Telecommunications</option>
<option value="tourismus">Tourism and Gastronomy</option>
<option value="transport">Transport and logistics</option>
</select>
</div>
<div class="form-group">
<label for="company_preffered_language_id">Language for email communication</label><br>
<select class="form-control" required="required" name="company[preffered_language_id]" id="company_preffered_language_id">
<option value=""></option>
<option value="2">English</option>
<option value="3">French</option>
<option value="1">German</option>
</select>
</div>
<div class="form-group">
<label class="email optional" for="company_email">Email</label>
<input class="form-control" required="required" type="email" name="company[email]" id="company_email">
</div>
<div class="form-group">
<label for="company_password">Password</label>
<input class="form-control companyPassword" required="required" minlength="8" data-parsley-required-message="This is a mandatory field." data-parsley-pattern="^(?=.*[A-Z])(?=.*[!@*])(?=.*[0-9])(?=.*[a-z]).{8,}$"
data-parsley-pattern-message="In order to have a strong password, please include at least : <ul> <li>Eight characters</li> <li>One uppercase or capital letter (ex: A, B, etc.)</li> <li>One lowercase letter</li> <li>One number digit (ex: 0, 1, 2, 3, etc.)</li> <li>One special character-for example: $, #, @, !,%,^, -, ?,&,*</li> </ul>"
type="password" name="company[password]" id="company_password">
</div>
<div class="form-group">
<label for="company_password_confirmation">Confirm Password</label>
<input class="form-control" data-parsley-equalto=" .companyPassword" required="required" type="password" name="company[password_confirmation]" id="company_password_confirmation">
</div>
<div class="form-group mg-0 registerCaptcha">
<div class="verify-registration" id="verify-company-registration"> </div>
<ul class="parsley-errors-list captcha-error">
<li class="parsley-required"> Please verify that you are not a robot. </li>
</ul>
</div>
<div class="form-group">
<input name="company[terms_and_conditions]" type="hidden" value="0"><input class="form-control css-checkbox" required="required" id="company_terms_and_conditions" type="checkbox" value="1" name="company[terms_and_conditions]">
<label class="css-label lite-blue-check" for="company_terms_and_conditions"></label>
<div class="tos"> I hereby accept the general <a href="/agb?locale=en" target="_blank">terms and conditions</a> as well as the <a href="/datenschutz?locale=en" target="_blank">data privacy statement</a> of the bettercoach.de GmbH. </div>
</div>
<div class="twoAdjustentButtons">
<button class="btn btn-md zuruckStep2Button prevButton" data-step-current="step4" data-step-prev="step3">Back</button>
<button name="button" type="submit" class="btn btn btn-primary btn-md btnSubmitCompany">Complete</button>
</div>
</form>POST /coaches?locale=en
<form role="form" class="simple_form customForm registerCoachForm" autocomplete="off" novalidate="novalidate" id="new_coach" action="/coaches?locale=en" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input
type="hidden" name="authenticity_token" value="NcN6aCkzA4j/PQjt2OP6QsGvJK8PwHJ8BpKgxfzDDRjjItdb0PuKOgYB5uLSR7aIZfrRcclzH6la5wQyAvi5Mw==">
<div class="step step2 coach">
<div class="formHeader">
<div class="row">
<div class="col-md-10 col-xs-10">
<span class="stepHeadline">
<strong>Registration</strong>
</span>
</div>
<div class="col-md-2 col-xs-2">
<a class="closeBtn white" href="javascript:void(0)">×</a>
</div>
</div>
<div class="row">
<div class="col-md-12 col-xs-12">
<div class="custom-progress-wrap custom-progress" data-progress-percent-from="30" data-progress-percent="60">
<div class="custom-progress-bar custom-progress"></div>
</div>
<span class="stepCount white">2 / 4</span>
</div>
</div>
</div>
<div class="white formText"> Request your admission into the bettercoach pool. After positive examination of your profile your account will be activated. </div>
<div class="formContent">
<ul class="parsley-errors-list filled customErrors"></ul>
<div class="input hidden coach_type"><input value="ExternalCoach" class="hidden" type="hidden" name="coach[type]" id="coach_type"></div>
<div class="form-group">
<label for="coach_gender">Title</label>
<select class="form-control" required="required" data-parsley-group="coach-step-step2" name="coach[gender]" id="coach_gender">
<option value="">Please Select...</option>
<option value="male">Mr</option>
<option value="female">Ms</option>
<option value="mx">Mx</option>
</select>
</div>
<div class="row">
<div class="col-md-6 col-xs-6">
<div class="form-group">
<label for="coach_name">First name</label>
<input class="form-control" required="required" data-parsley-group="coach-step-step2" type="text" name="coach[name]" id="coach_name">
</div>
</div>
<div class="col-md-6 col-xs-6">
<div class="form-group">
<label for="coach_surname">Last name</label>
<input class="form-control" required="required" data-parsley-group="coach-step-step2" type="text" name="coach[surname]" id="coach_surname">
</div>
</div>
</div>
<div class="form-group">
<label for="coach_coaching_language_ids">Coaching language(s)</label>
<span class="info-help-tool help-tool red-tooltip" data-placement="top" data-toggle="tooltip" title="" data-original-title="Languages you are comfortable giving a coaching session in">?</span>
<input name="coach[coaching_language_ids][]" type="hidden" value=""><span class="multiselect-native-select"><select class="form-control" style="width: 5em; display:inline;" multiple="multiple" data-label="Select language"
data-parsley-group="coach-step-step2" name="coach[coaching_language_ids][]" id="coach_coaching_language_ids">
<option value="37">Albanian</option>
<option value="8">Arabic</option>
<option value="36">Bulgarian</option>
<option value="35">Chinese (Cantonese)</option>
<option value="14">Chinese (Mandarin)</option>
<option value="16">Croatian</option>
<option value="17">Czech</option>
<option value="10">Danish</option>
<option value="9">Dutch</option>
<option value="2">English</option>
<option value="43">Estonian</option>
<option value="42">Filipino</option>
<option value="13">Finnish</option>
<option value="3">French</option>
<option value="1">German</option>
<option value="30">Greek</option>
<option value="41">Hebrew</option>
<option value="47">Hebrew</option>
<option value="18">Hindi</option>
<option value="19">Hungarian</option>
<option value="20">Indonesian</option>
<option value="45">Irish</option>
<option value="4">Italian</option>
<option value="21">Japanese</option>
<option value="22">Korean</option>
<option value="40">Latvian</option>
<option value="44">Lithuanian</option>
<option value="23">Malay</option>
<option value="46">Maltese</option>
<option value="11">Norwegian</option>
<option value="29">Polish</option>
<option value="6">Portuguese</option>
<option value="24">Romanian</option>
<option value="25">Russian</option>
<option value="31">Serbian</option>
<option value="39">Slovak</option>
<option value="38">Slovene</option>
<option value="5">Spanish</option>
<option value="12">Swedish</option>
<option value="48">Taiwanese</option>
<option value="26">Thai</option>
<option value="27">Turkish</option>
<option value="28">Ukrainian</option>
</select>
<div class="btn-group"><button type="button" class="multiselect dropdown-toggle btn btn-default" data-toggle="dropdown" title="- Please select -"><span class="multiselect-selected-text">- Please select -</span>
<b class="caret"></b></button>
<ul class="multiselect-container dropdown-menu">
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="37" id="multiselect-0"><label for="multiselect-0" class="checkbox" title="Albanian"> Albanian</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="8" id="multiselect-1"><label for="multiselect-1" class="checkbox" title="Arabic"> Arabic</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="36" id="multiselect-2"><label for="multiselect-2" class="checkbox" title="Bulgarian"> Bulgarian</label></div></a></li>
<li class="checkList">
<a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="35" id="multiselect-3"><label for="multiselect-3" class="checkbox" title="Chinese (Cantonese)"> Chinese (Cantonese)</label></div></a></li>
<li class="checkList">
<a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="14" id="multiselect-4"><label for="multiselect-4" class="checkbox" title="Chinese (Mandarin)"> Chinese (Mandarin)</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="16" id="multiselect-5"><label for="multiselect-5" class="checkbox" title="Croatian"> Croatian</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="17" id="multiselect-6"><label for="multiselect-6" class="checkbox" title="Czech"> Czech</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="10" id="multiselect-7"><label for="multiselect-7" class="checkbox" title="Danish"> Danish</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="9" id="multiselect-8"><label for="multiselect-8" class="checkbox" title="Dutch"> Dutch</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="2" id="multiselect-9"><label for="multiselect-9" class="checkbox" title="English"> English</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="43" id="multiselect-10"><label for="multiselect-10" class="checkbox" title="Estonian"> Estonian</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="42" id="multiselect-11"><label for="multiselect-11" class="checkbox" title="Filipino"> Filipino</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="13" id="multiselect-12"><label for="multiselect-12" class="checkbox" title="Finnish"> Finnish</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="3" id="multiselect-13"><label for="multiselect-13" class="checkbox" title="French"> French</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="1" id="multiselect-14"><label for="multiselect-14" class="checkbox" title="German"> German</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="30" id="multiselect-15"><label for="multiselect-15" class="checkbox" title="Greek"> Greek</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="41" id="multiselect-16"><label for="multiselect-16" class="checkbox" title="Hebrew"> Hebrew</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="47" id="multiselect-17"><label for="multiselect-17" class="checkbox" title="Hebrew"> Hebrew</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="18" id="multiselect-18"><label for="multiselect-18" class="checkbox" title="Hindi"> Hindi</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="19" id="multiselect-19"><label for="multiselect-19" class="checkbox" title="Hungarian"> Hungarian</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="20" id="multiselect-20"><label for="multiselect-20" class="checkbox" title="Indonesian"> Indonesian</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="45" id="multiselect-21"><label for="multiselect-21" class="checkbox" title="Irish"> Irish</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="4" id="multiselect-22"><label for="multiselect-22" class="checkbox" title="Italian"> Italian</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="21" id="multiselect-23"><label for="multiselect-23" class="checkbox" title="Japanese"> Japanese</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="22" id="multiselect-24"><label for="multiselect-24" class="checkbox" title="Korean"> Korean</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="40" id="multiselect-25"><label for="multiselect-25" class="checkbox" title="Latvian"> Latvian</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="44" id="multiselect-26"><label for="multiselect-26" class="checkbox" title="Lithuanian"> Lithuanian</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="23" id="multiselect-27"><label for="multiselect-27" class="checkbox" title="Malay"> Malay</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="46" id="multiselect-28"><label for="multiselect-28" class="checkbox" title="Maltese"> Maltese</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="11" id="multiselect-29"><label for="multiselect-29" class="checkbox" title="Norwegian"> Norwegian</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="29" id="multiselect-30"><label for="multiselect-30" class="checkbox" title="Polish"> Polish</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="6" id="multiselect-31"><label for="multiselect-31" class="checkbox" title="Portuguese"> Portuguese</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="24" id="multiselect-32"><label for="multiselect-32" class="checkbox" title="Romanian"> Romanian</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="25" id="multiselect-33"><label for="multiselect-33" class="checkbox" title="Russian"> Russian</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="31" id="multiselect-34"><label for="multiselect-34" class="checkbox" title="Serbian"> Serbian</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="39" id="multiselect-35"><label for="multiselect-35" class="checkbox" title="Slovak"> Slovak</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="38" id="multiselect-36"><label for="multiselect-36" class="checkbox" title="Slovene"> Slovene</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="5" id="multiselect-37"><label for="multiselect-37" class="checkbox" title="Spanish"> Spanish</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="12" id="multiselect-38"><label for="multiselect-38" class="checkbox" title="Swedish"> Swedish</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="48" id="multiselect-39"><label for="multiselect-39" class="checkbox" title="Taiwanese"> Taiwanese</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="26" id="multiselect-40"><label for="multiselect-40" class="checkbox" title="Thai"> Thai</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="27" id="multiselect-41"><label for="multiselect-41" class="checkbox" title="Turkish"> Turkish</label></div></a></li>
<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><input type="checkbox" value="28" id="multiselect-42"><label for="multiselect-42" class="checkbox" title="Ukrainian"> Ukrainian</label></div></a></li>
</ul>
</div>
</span>
</div>
<div class="form-group">
<label for="coach_leadership_experience">Leadership experience (in years)</label>
<span class="info-help-tool help-tool red-tooltip" data-placement="top" data-toggle="tooltip" title=""
data-original-title="Leadership experience means leading a team, a division, a unit or an entire company. Please do not count the leadership experience in your own coaching company.">?</span>
<select class="select2-select form-control select2-hidden-accessible" required="required" data-parsley-group="coach-step-step2" name="coach[leadership_experience]" id="coach_leadership_experience" data-select2-id="coach_leadership_experience"
tabindex="-1" aria-hidden="true">
<option value="" data-select2-id="2">Please Select...</option>
<option value="0">0</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
<option value="32">32</option>
<option value="33">33</option>
<option value="34">34</option>
<option value="35">35</option>
<option value="36">36</option>
<option value="37">37</option>
<option value="38">38</option>
<option value="39">39</option>
<option value="40">40</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="1" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-coach_leadership_experience-container"><span class="select2-selection__rendered" id="select2-coach_leadership_experience-container"
role="textbox" aria-readonly="true" title="Please Select...">Please Select...</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper"
aria-hidden="true"></span></span>
</div>
<div class="form-group">
<label for="coach_working_since_year">Coaching experience (since)</label>
<span class="info-help-tool help-tool red-tooltip" data-placement="top" data-toggle="tooltip" title=""
data-original-title="Coaching experience counts the years of experience as a coach after having completed a profound coaching education. The majority of the engagements in those years should be externally paid for. So please count the years accordingly.">?</span>
<select class="select2-select form-control select2-hidden-accessible" required="required" data-parsley-group="coach-step-step2" name="coach[working_since_year]" id="coach_working_since_year" data-select2-id="coach_working_since_year"
tabindex="-1" aria-hidden="true">
<option value=""></option>
<option selected="selected" value="" data-select2-id="4">Please Select...</option>
<option value="2021">2021</option>
<option value="2020">2020</option>
<option value="2019">2019</option>
<option value="2018">2018</option>
<option value="2017">2017</option>
<option value="2016">2016</option>
<option value="2015">2015</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
<option value="2010">2010</option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="3" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-coach_working_since_year-container"><span class="select2-selection__rendered" id="select2-coach_working_since_year-container"
role="textbox" aria-readonly="true" title="Please Select...">Please Select...</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper"
aria-hidden="true"></span></span>
</div>
<div class="form-group mg-0">
<label for="coach_coaching_experience_hours">Coaching experience (in hours)</label>
<span class="info-help-tool help-tool red-tooltip" data-placement="top" data-toggle="tooltip" title=""
data-original-title="Coaching experience counts the years of experience as a coach after having completed a profound coaching education. The majority of the engagements in those years should be externally paid for. So please count the years accordingly.">?</span>
<select class="select2-select form-control select2-hidden-accessible" required="required" data-parsley-group="coach-step-step2" name="coach[coaching_experience_hours]" id="coach_coaching_experience_hours"
data-select2-id="coach_coaching_experience_hours" tabindex="-1" aria-hidden="true">
<option value="" data-select2-id="6">Please Select...</option>
<option value="250">250</option>
<option value="500">500</option>
<option value="750">750</option>
<option value="1000">1000</option>
<option value="1250">1250</option>
<option value="1500">1500</option>
<option value="1750">1750</option>
<option value="2000">2000</option>
<option value="2250">2250</option>
<option value="2500">2500</option>
<option value="2750">2750</option>
<option value="3000">3000</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="5" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-coach_coaching_experience_hours-container"><span class="select2-selection__rendered"
id="select2-coach_coaching_experience_hours-container" role="textbox" aria-readonly="true" title="Please Select...">Please Select...</span><span class="select2-selection__arrow"
role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
<div class="form-group checklistWrap">
<div class="Labelformat">
<label>Formats</label>
<span class="info-help-tool help-tool red-tooltip" data-placement="top" data-toggle="tooltip" title="" data-original-title="Please select the formats with which you are comfortable doing an engagement">?</span>
</div>
<div class="LabelBlank"></div>
<div class="LabelVirtual">
<label>incl. virtual</label>
</div>
<div class="LabelVirtual">
<label>Min rate</label>
</div>
</div>
<div class="form-group portfolio_row mg-0">
<div class="standardFormatList">
<input type="hidden" name="coach[portfolios_attributes][0][id]" id="coach_portfolios_attributes_0_id">
<input value="1" type="hidden" name="coach[portfolios_attributes][0][program_module_id]" id="coach_portfolios_attributes_0_program_module_id">
<input type="hidden" name="program_module_id" id="program_module_id" value="1">
</div>
<div class="new_wrapList">
<div class="ModuleCheck1">
<input name="coach[portfolios_attributes][0][_destroy]" type="hidden" value="1"><input data-parsley-errors-container="#portfolio_error" data-parsley-multiple="portfolio" required="required" id="portfolio_1"
data-parsley-required-message="Please add at least one topic" class="coach-portfolio-check form-control css-checkbox" type="checkbox" value="0" name="coach[portfolios_attributes][0][_destroy]">
<label class="css-label lite-blue-check" for="portfolio_1"></label>
</div>
<div class="ModuleName">
<label class="email optional">Individual Coaching</label>
</div>
<div class="ModuleCheck2">
<input data-parsley-errors-container="#portfolio_error" data-parsley-multiple="portfolio" required="required" id="portfolio_include_virtual_1" data-parsley-required-message="Please add at least one topic"
class="coach-portfolio-check form-control css-checkbox" type="checkbox" value="true" name="coach[portfolios_attributes][0][include_virtual]">
<label class="css-label lite-blue-check" for="portfolio_include_virtual_1"></label>
</div>
<div class="ModuleSelect">
<select class="form-control margin_left_none portfolio-rate" data-value="null" data-parsley-group="coach-step-step2" name="coach[portfolios_attributes][0][rate]" id="coach_portfolios_attributes_0_rate">
<option value="">Please Select...</option>
<option value="150"> 150 /hour</option>
<option value="175"> 175 /hour</option>
<option value="200"> 200 /hour</option>
<option value="225"> 225 /hour</option>
<option value="250"> 250 /hour</option>
<option value="275"> 275 /hour</option>
<option value="300"> 300 /hour</option>
<option value="325"> 325 /hour</option>
<option value="350"> 350 /hour</option>
<option value="375"> 375 /hour</option>
<option value="400"> 400 /hour</option>
<option value="425"> 425 /hour</option>
<option value="450"> 450 /hour</option>
<option value="475"> 475 /hour</option>
<option value="500"> 500 /hour</option>
<option value="525"> 525 /hour</option>
<option value="550"> 550 /hour</option>
<option value="575"> 575 /hour</option>
<option value="600"> 600 /hour</option>
</select>
</div>
</div>
</div>
<div class="form-group portfolio_row mg-0">
<div class="standardFormatList">
<input type="hidden" name="coach[portfolios_attributes][1][id]" id="coach_portfolios_attributes_1_id">
<input value="2" type="hidden" name="coach[portfolios_attributes][1][program_module_id]" id="coach_portfolios_attributes_1_program_module_id">
<input type="hidden" name="program_module_id" id="program_module_id" value="2">
</div>
<div class="new_wrapList">
<div class="ModuleCheck1">
<input name="coach[portfolios_attributes][1][_destroy]" type="hidden" value="1"><input data-parsley-errors-container="#portfolio_error" data-parsley-multiple="portfolio" id="portfolio_2"
data-parsley-required-message="Please add at least one topic" class="coach-portfolio-check form-control css-checkbox" type="checkbox" value="0" name="coach[portfolios_attributes][1][_destroy]">
<label class="css-label lite-blue-check" for="portfolio_2"></label>
</div>
<div class="ModuleName">
<label class="email optional">Team-Coaching</label>
</div>
<div class="ModuleCheck2">
<input data-parsley-errors-container="#portfolio_error" data-parsley-multiple="portfolio" id="portfolio_include_virtual_2" data-parsley-required-message="Please add at least one topic"
class="coach-portfolio-check form-control css-checkbox" type="checkbox" value="true" name="coach[portfolios_attributes][1][include_virtual]">
<label class="css-label lite-blue-check" for="portfolio_include_virtual_2"></label>
</div>
<div class="ModuleSelect">
<select class="form-control margin_left_none portfolio-rate" data-value="null" data-parsley-group="coach-step-step2" name="coach[portfolios_attributes][1][rate]" id="coach_portfolios_attributes_1_rate">
<option value="">Please Select...</option>
<option value="1400"> 1400 /day</option>
<option value="1500"> 1500 /day</option>
<option value="1600"> 1600 /day</option>
<option value="1700"> 1700 /day</option>
<option value="1800"> 1800 /day</option>
<option value="1900"> 1900 /day</option>
<option value="2000"> 2000 /day</option>
<option value="2100"> 2100 /day</option>
<option value="2200"> 2200 /day</option>
<option value="2300"> 2300 /day</option>
<option value="2400"> 2400 /day</option>
<option value="2500"> 2500 /day</option>
<option value="2600"> 2600 /day</option>
<option value="2700"> 2700 /day</option>
<option value="2800"> 2800 /day</option>
<option value="2900"> 2900 /day</option>
<option value="3000"> 3000 /day</option>
<option value="3100"> 3100 /day</option>
<option value="3200"> 3200 /day</option>
<option value="3300"> 3300 /day</option>
<option value="3400"> 3400 /day</option>
<option value="3500"> 3500 /day</option>
<option value="3600"> 3600 /day</option>
<option value="3700"> 3700 /day</option>
<option value="3800"> 3800 /day</option>
<option value="3900"> 3900 /day</option>
<option value="4000"> 4000 /day</option>
<option value="4100"> 4100 /day</option>
<option value="4200"> 4200 /day</option>
<option value="4300"> 4300 /day</option>
<option value="4400"> 4400 /day</option>
<option value="4500"> 4500 /day</option>
<option value="4600"> 4600 /day</option>
<option value="4700"> 4700 /day</option>
<option value="4800"> 4800 /day</option>
</select>
</div>
</div>
</div>
<div class="form-group portfolio_row mg-0">
<div class="standardFormatList">
<input type="hidden" name="coach[portfolios_attributes][2][id]" id="coach_portfolios_attributes_2_id">
<input value="3" type="hidden" name="coach[portfolios_attributes][2][program_module_id]" id="coach_portfolios_attributes_2_program_module_id">
<input type="hidden" name="program_module_id" id="program_module_id" value="3">
</div>
<div class="new_wrapList">
<div class="ModuleCheck1">
<input name="coach[portfolios_attributes][2][_destroy]" type="hidden" value="1"><input data-parsley-errors-container="#portfolio_error" data-parsley-multiple="portfolio" id="portfolio_3"
data-parsley-required-message="Please add at least one topic" class="coach-portfolio-check form-control css-checkbox" type="checkbox" value="0" name="coach[portfolios_attributes][2][_destroy]">
<label class="css-label lite-blue-check" for="portfolio_3"></label>
</div>
<div class="ModuleName">
<label class="email optional">Workshop</label>
</div>
<div class="ModuleCheck2">
<input data-parsley-errors-container="#portfolio_error" data-parsley-multiple="portfolio" id="portfolio_include_virtual_3" data-parsley-required-message="Please add at least one topic"
class="coach-portfolio-check form-control css-checkbox" type="checkbox" value="true" name="coach[portfolios_attributes][2][include_virtual]">
<label class="css-label lite-blue-check" for="portfolio_include_virtual_3"></label>
</div>
<div class="ModuleSelect">
<select class="form-control margin_left_none portfolio-rate" data-value="null" data-parsley-group="coach-step-step2" name="coach[portfolios_attributes][2][rate]" id="coach_portfolios_attributes_2_rate">
<option value="">Please Select...</option>
<option value="1400"> 1400 /day</option>
<option value="1500"> 1500 /day</option>
<option value="1600"> 1600 /day</option>
<option value="1700"> 1700 /day</option>
<option value="1800"> 1800 /day</option>
<option value="1900"> 1900 /day</option>
<option value="2000"> 2000 /day</option>
<option value="2100"> 2100 /day</option>
<option value="2200"> 2200 /day</option>
<option value="2300"> 2300 /day</option>
<option value="2400"> 2400 /day</option>
<option value="2500"> 2500 /day</option>
<option value="2600"> 2600 /day</option>
<option value="2700"> 2700 /day</option>
<option value="2800"> 2800 /day</option>
<option value="2900"> 2900 /day</option>
<option value="3000"> 3000 /day</option>
<option value="3100"> 3100 /day</option>
<option value="3200"> 3200 /day</option>
<option value="3300"> 3300 /day</option>
<option value="3400"> 3400 /day</option>
<option value="3500"> 3500 /day</option>
<option value="3600"> 3600 /day</option>
<option value="3700"> 3700 /day</option>
<option value="3800"> 3800 /day</option>
<option value="3900"> 3900 /day</option>
<option value="4000"> 4000 /day</option>
<option value="4100"> 4100 /day</option>
<option value="4200"> 4200 /day</option>
<option value="4300"> 4300 /day</option>
<option value="4400"> 4400 /day</option>
<option value="4500"> 4500 /day</option>
<option value="4600"> 4600 /day</option>
<option value="4700"> 4700 /day</option>
<option value="4800"> 4800 /day</option>
</select>
</div>
</div>
</div>
<div class="form-group portfolio_row mg-0">
<div class="standardFormatList">
<input type="hidden" name="coach[portfolios_attributes][3][id]" id="coach_portfolios_attributes_3_id">
<input value="4" type="hidden" name="coach[portfolios_attributes][3][program_module_id]" id="coach_portfolios_attributes_3_program_module_id">
<input type="hidden" name="program_module_id" id="program_module_id" value="4">
</div>
<div class="new_wrapList">
<div class="ModuleCheck1">
<input name="coach[portfolios_attributes][3][_destroy]" type="hidden" value="1"><input data-parsley-errors-container="#portfolio_error" data-parsley-multiple="portfolio" id="portfolio_4"
data-parsley-required-message="Please add at least one topic" class="coach-portfolio-check form-control css-checkbox" type="checkbox" value="0" name="coach[portfolios_attributes][3][_destroy]">
<label class="css-label lite-blue-check" for="portfolio_4"></label>
</div>
<div class="ModuleName">
<label class="email optional">Training</label>
</div>
<div class="ModuleCheck2">
<input data-parsley-errors-container="#portfolio_error" data-parsley-multiple="portfolio" id="portfolio_include_virtual_4" data-parsley-required-message="Please add at least one topic"
class="coach-portfolio-check form-control css-checkbox" type="checkbox" value="true" name="coach[portfolios_attributes][3][include_virtual]">
<label class="css-label lite-blue-check" for="portfolio_include_virtual_4"></label>
</div>
<div class="ModuleSelect">
<select class="form-control margin_left_none portfolio-rate" data-value="null" data-parsley-group="coach-step-step2" name="coach[portfolios_attributes][3][rate]" id="coach_portfolios_attributes_3_rate">
<option value="">Please Select...</option>
<option value="1400"> 1400 /day</option>
<option value="1500"> 1500 /day</option>
<option value="1600"> 1600 /day</option>
<option value="1700"> 1700 /day</option>
<option value="1800"> 1800 /day</option>
<option value="1900"> 1900 /day</option>
<option value="2000"> 2000 /day</option>
<option value="2100"> 2100 /day</option>
<option value="2200"> 2200 /day</option>
<option value="2300"> 2300 /day</option>
<option value="2400"> 2400 /day</option>
<option value="2500"> 2500 /day</option>
<option value="2600"> 2600 /day</option>
<option value="2700"> 2700 /day</option>
<option value="2800"> 2800 /day</option>
<option value="2900"> 2900 /day</option>
<option value="3000"> 3000 /day</option>
<option value="3100"> 3100 /day</option>
<option value="3200"> 3200 /day</option>
<option value="3300"> 3300 /day</option>
<option value="3400"> 3400 /day</option>
<option value="3500"> 3500 /day</option>
<option value="3600"> 3600 /day</option>
<option value="3700"> 3700 /day</option>
<option value="3800"> 3800 /day</option>
<option value="3900"> 3900 /day</option>
<option value="4000"> 4000 /day</option>
<option value="4100"> 4100 /day</option>
<option value="4200"> 4200 /day</option>
<option value="4300"> 4300 /day</option>
<option value="4400"> 4400 /day</option>
<option value="4500"> 4500 /day</option>
<option value="4600"> 4600 /day</option>
<option value="4700"> 4700 /day</option>
<option value="4800"> 4800 /day</option>
</select>
</div>
</div>
</div>
<div class="form-group portfolio_row mg-0">
<div class="standardFormatList">
<input type="hidden" name="coach[portfolios_attributes][4][id]" id="coach_portfolios_attributes_4_id">
<input value="5" type="hidden" name="coach[portfolios_attributes][4][program_module_id]" id="coach_portfolios_attributes_4_program_module_id">
<input type="hidden" name="program_module_id" id="program_module_id" value="5">
</div>
<div class="new_wrapList">
<div class="ModuleCheck1">
<input name="coach[portfolios_attributes][4][_destroy]" type="hidden" value="1"><input data-parsley-errors-container="#portfolio_error" data-parsley-multiple="portfolio" id="portfolio_5"
data-parsley-required-message="Please add at least one topic" class="coach-portfolio-check form-control css-checkbox" type="checkbox" value="0" name="coach[portfolios_attributes][4][_destroy]">
<label class="css-label lite-blue-check" for="portfolio_5"></label>
</div>
<div class="ModuleName">
<label class="email optional">Moderation</label>
</div>
<div class="ModuleCheck2">
<input data-parsley-errors-container="#portfolio_error" data-parsley-multiple="portfolio" id="portfolio_include_virtual_5" data-parsley-required-message="Please add at least one topic"
class="coach-portfolio-check form-control css-checkbox" type="checkbox" value="true" name="coach[portfolios_attributes][4][include_virtual]">
<label class="css-label lite-blue-check" for="portfolio_include_virtual_5"></label>
</div>
<div class="ModuleSelect">
<select class="form-control margin_left_none portfolio-rate" data-value="null" data-parsley-group="coach-step-step2" name="coach[portfolios_attributes][4][rate]" id="coach_portfolios_attributes_4_rate">
<option value="">Please Select...</option>
<option value="1400"> 1400 /day</option>
<option value="1500"> 1500 /day</option>
<option value="1600"> 1600 /day</option>
<option value="1700"> 1700 /day</option>
<option value="1800"> 1800 /day</option>
<option value="1900"> 1900 /day</option>
<option value="2000"> 2000 /day</option>
<option value="2100"> 2100 /day</option>
<option value="2200"> 2200 /day</option>
<option value="2300"> 2300 /day</option>
<option value="2400"> 2400 /day</option>
<option value="2500"> 2500 /day</option>
<option value="2600"> 2600 /day</option>
<option value="2700"> 2700 /day</option>
<option value="2800"> 2800 /day</option>
<option value="2900"> 2900 /day</option>
<option value="3000"> 3000 /day</option>
<option value="3100"> 3100 /day</option>
<option value="3200"> 3200 /day</option>
<option value="3300"> 3300 /day</option>
<option value="3400"> 3400 /day</option>
<option value="3500"> 3500 /day</option>
<option value="3600"> 3600 /day</option>
<option value="3700"> 3700 /day</option>
<option value="3800"> 3800 /day</option>
<option value="3900"> 3900 /day</option>
<option value="4000"> 4000 /day</option>
<option value="4100"> 4100 /day</option>
<option value="4200"> 4200 /day</option>
<option value="4300"> 4300 /day</option>
<option value="4400"> 4400 /day</option>
<option value="4500"> 4500 /day</option>
<option value="4600"> 4600 /day</option>
<option value="4700"> 4700 /day</option>
<option value="4800"> 4800 /day</option>
</select>
</div>
</div>
</div>
<div class="form-group portfolio_row mg-0">
<div class="standardFormatList">
<input type="hidden" name="coach[portfolios_attributes][5][id]" id="coach_portfolios_attributes_5_id">
<input value="10" type="hidden" name="coach[portfolios_attributes][5][program_module_id]" id="coach_portfolios_attributes_5_program_module_id">
<input type="hidden" name="program_module_id" id="program_module_id" value="10">
</div>
<div class="new_wrapList">
<div class="ModuleCheck1">
<input name="coach[portfolios_attributes][5][_destroy]" type="hidden" value="1"><input data-parsley-errors-container="#portfolio_error" data-parsley-multiple="portfolio" id="portfolio_10"
data-parsley-required-message="Please add at least one topic" class="coach-portfolio-check form-control css-checkbox" type="checkbox" value="0" name="coach[portfolios_attributes][5][_destroy]">
<label class="css-label lite-blue-check" for="portfolio_10"></label>
</div>
<div class="ModuleName">
<label class="email optional">Process and Change Consulting</label>
</div>
<div class="ModuleCheck2">
<input data-parsley-errors-container="#portfolio_error" data-parsley-multiple="portfolio" id="portfolio_include_virtual_10" data-parsley-required-message="Please add at least one topic"
class="coach-portfolio-check form-control css-checkbox" type="checkbox" value="true" name="coach[portfolios_attributes][5][include_virtual]">
<label class="css-label lite-blue-check" for="portfolio_include_virtual_10"></label>
</div>
<div class="ModuleSelect">
<select class="form-control margin_left_none portfolio-rate" data-value="null" data-parsley-group="coach-step-step2" name="coach[portfolios_attributes][5][rate]" id="coach_portfolios_attributes_5_rate">
<option value="">Please Select...</option>
<option value="1400"> 1400 /day</option>
<option value="1500"> 1500 /day</option>
<option value="1600"> 1600 /day</option>
<option value="1700"> 1700 /day</option>
<option value="1800"> 1800 /day</option>
<option value="1900"> 1900 /day</option>
<option value="2000"> 2000 /day</option>
<option value="2100"> 2100 /day</option>
<option value="2200"> 2200 /day</option>
<option value="2300"> 2300 /day</option>
<option value="2400"> 2400 /day</option>
<option value="2500"> 2500 /day</option>
<option value="2600"> 2600 /day</option>
<option value="2700"> 2700 /day</option>
<option value="2800"> 2800 /day</option>
<option value="2900"> 2900 /day</option>
<option value="3000"> 3000 /day</option>
<option value="3100"> 3100 /day</option>
<option value="3200"> 3200 /day</option>
<option value="3300"> 3300 /day</option>
<option value="3400"> 3400 /day</option>
<option value="3500"> 3500 /day</option>
<option value="3600"> 3600 /day</option>
<option value="3700"> 3700 /day</option>
<option value="3800"> 3800 /day</option>
<option value="3900"> 3900 /day</option>
<option value="4000"> 4000 /day</option>
<option value="4100"> 4100 /day</option>
<option value="4200"> 4200 /day</option>
<option value="4300"> 4300 /day</option>
<option value="4400"> 4400 /day</option>
<option value="4500"> 4500 /day</option>
<option value="4600"> 4600 /day</option>
<option value="4700"> 4700 /day</option>
<option value="4800"> 4800 /day</option>
</select>
</div>
</div>
</div>
<div class="form-group portfolio_row mg-0">
<div class="standardFormatList">
<input type="hidden" name="coach[portfolios_attributes][6][id]" id="coach_portfolios_attributes_6_id">
<input value="28" type="hidden" name="coach[portfolios_attributes][6][program_module_id]" id="coach_portfolios_attributes_6_program_module_id">
<input type="hidden" name="program_module_id" id="program_module_id" value="28">
</div>
<div class="new_wrapList">
<div class="ModuleCheck1">
<input name="coach[portfolios_attributes][6][_destroy]" type="hidden" value="1"><input data-parsley-errors-container="#portfolio_error" data-parsley-multiple="portfolio" id="portfolio_28"
data-parsley-required-message="Please add at least one topic" class="coach-portfolio-check form-control css-checkbox" type="checkbox" value="0" name="coach[portfolios_attributes][6][_destroy]">
<label class="css-label lite-blue-check" for="portfolio_28"></label>
</div>
<div class="ModuleName">
<label class="email optional">Change Management</label>
</div>
<div class="ModuleCheck2">
<input data-parsley-errors-container="#portfolio_error" data-parsley-multiple="portfolio" id="portfolio_include_virtual_28" data-parsley-required-message="Please add at least one topic"
class="coach-portfolio-check form-control css-checkbox" type="checkbox" value="true" name="coach[portfolios_attributes][6][include_virtual]">
<label class="css-label lite-blue-check" for="portfolio_include_virtual_28"></label>
</div>
<div class="ModuleSelect">
<select class="form-control margin_left_none portfolio-rate" data-value="null" data-parsley-group="coach-step-step2" name="coach[portfolios_attributes][6][rate]" id="coach_portfolios_attributes_6_rate">
<option value="">Please Select...</option>
<option value="1400"> 1400 /day</option>
<option value="1500"> 1500 /day</option>
<option value="1600"> 1600 /day</option>
<option value="1700"> 1700 /day</option>
<option value="1800"> 1800 /day</option>
<option value="1900"> 1900 /day</option>
<option value="2000"> 2000 /day</option>
<option value="2100"> 2100 /day</option>
<option value="2200"> 2200 /day</option>
<option value="2300"> 2300 /day</option>
<option value="2400"> 2400 /day</option>
<option value="2500"> 2500 /day</option>
<option value="2600"> 2600 /day</option>
<option value="2700"> 2700 /day</option>
<option value="2800"> 2800 /day</option>
<option value="2900"> 2900 /day</option>
<option value="3000"> 3000 /day</option>
<option value="3100"> 3100 /day</option>
<option value="3200"> 3200 /day</option>
<option value="3300"> 3300 /day</option>
<option value="3400"> 3400 /day</option>
<option value="3500"> 3500 /day</option>
<option value="3600"> 3600 /day</option>
<option value="3700"> 3700 /day</option>
<option value="3800"> 3800 /day</option>
<option value="3900"> 3900 /day</option>
<option value="4000"> 4000 /day</option>
<option value="4100"> 4100 /day</option>
<option value="4200"> 4200 /day</option>
<option value="4300"> 4300 /day</option>
<option value="4400"> 4400 /day</option>
<option value="4500"> 4500 /day</option>
<option value="4600"> 4600 /day</option>
<option value="4700"> 4700 /day</option>
<option value="4800"> 4800 /day</option>
</select>
</div>
</div>
</div>
<div class="form-group portfolio_row mg-0">
<div class="standardFormatList">
<input type="hidden" name="coach[portfolios_attributes][7][id]" id="coach_portfolios_attributes_7_id">
<input value="30" type="hidden" name="coach[portfolios_attributes][7][program_module_id]" id="coach_portfolios_attributes_7_program_module_id">
<input type="hidden" name="program_module_id" id="program_module_id" value="30">
</div>
<div class="new_wrapList">
<div class="ModuleCheck1">
<input name="coach[portfolios_attributes][7][_destroy]" type="hidden" value="1"><input data-parsley-errors-container="#portfolio_error" data-parsley-multiple="portfolio" id="portfolio_30"
data-parsley-required-message="Please add at least one topic" class="coach-portfolio-check form-control css-checkbox" type="checkbox" value="0" name="coach[portfolios_attributes][7][_destroy]">
<label class="css-label lite-blue-check" for="portfolio_30"></label>
</div>
<div class="ModuleName">
<label class="email optional">Consultation & Conception</label>
</div>
<div class="ModuleCheck2">
<input data-parsley-errors-container="#portfolio_error" data-parsley-multiple="portfolio" id="portfolio_include_virtual_30" data-parsley-required-message="Please add at least one topic"
class="coach-portfolio-check form-control css-checkbox" type="checkbox" value="true" name="coach[portfolios_attributes][7][include_virtual]">
<label class="css-label lite-blue-check" for="portfolio_include_virtual_30"></label>
</div>
<div class="ModuleSelect">
<select class="form-control margin_left_none portfolio-rate" data-value="null" data-parsley-group="coach-step-step2" name="coach[portfolios_attributes][7][rate]" id="coach_portfolios_attributes_7_rate">
<option value="">Please Select...</option>
<option value="1400"> 1400 /day</option>
<option value="1500"> 1500 /day</option>
<option value="1600"> 1600 /day</option>
<option value="1700"> 1700 /day</option>
<option value="1800"> 1800 /day</option>
<option value="1900"> 1900 /day</option>
<option value="2000"> 2000 /day</option>
<option value="2100"> 2100 /day</option>
<option value="2200"> 2200 /day</option>
<option value="2300"> 2300 /day</option>
<option value="2400"> 2400 /day</option>
<option value="2500"> 2500 /day</option>
<option value="2600"> 2600 /day</option>
<option value="2700"> 2700 /day</option>
<option value="2800"> 2800 /day</option>
<option value="2900"> 2900 /day</option>
<option value="3000"> 3000 /day</option>
<option value="3100"> 3100 /day</option>
<option value="3200"> 3200 /day</option>
<option value="3300"> 3300 /day</option>
<option value="3400"> 3400 /day</option>
<option value="3500"> 3500 /day</option>
<option value="3600"> 3600 /day</option>
<option value="3700"> 3700 /day</option>
<option value="3800"> 3800 /day</option>
<option value="3900"> 3900 /day</option>
<option value="4000"> 4000 /day</option>
<option value="4100"> 4100 /day</option>
<option value="4200"> 4200 /day</option>
<option value="4300"> 4300 /day</option>
<option value="4400"> 4400 /day</option>
<option value="4500"> 4500 /day</option>
<option value="4600"> 4600 /day</option>
<option value="4700"> 4700 /day</option>
<option value="4800"> 4800 /day</option>
</select>
</div>
</div>
</div>
<div class="form-group">
<label class="string optional" for="coach_website">Website</label>
<input class="form-control" type="url" data-parsley-type="url" data-parsley-group="coach-step-step2" name="coach[website]" id="coach_website">
</div>
<div class="form-group">
<label class="url optional" for="coach_linkedin_url">Linkedin url</label>
<input class="form-control" type="url" data-parsley-type="url" data-parsley-group="coach-step-step2" name="coach[linkedin_url]" id="coach_linkedin_url">
</div>
<div class="twoAdjustentButtons">
<button class="btn btn-primary btn-lg zuruckStep2Button">Back</button>
<button class="btn btn-primary btn-lg coachStep2SubmitButton" data-step-current="step2" data-step-next="step3">Continue</button>
</div>
<script src="/assets/bootstrap-multiselect-a4b2c79be0f5468529c270da01ee9e758ff3cdbdb63990c1bf69324a01c6f2f6.js"></script>
<script>
$('.coach-portfolio-check').on('click', function(e) {
if ($(this)[0].checked) {
$(this).parents('.portfolio_row').find('.portfolio-rate').attr('required', true)
} else {
$(this).parents('.portfolio_row').find('.portfolio-rate').attr('required', false)
}
})
$('#coach_coaching_language_ids').multiselect({
nonSelectedText: "- Please select -",
templates: {
li: '<li class="checkList"><a tabindex="0"><div class="aweCheckbox aweCheckbox-danger"><label for=""></label></div></a></li>'
}
});
$('.multiselect-container div.aweCheckbox').each(function(index) {
var id = 'multiselect-' + index,
$input = $(this).find('input');
$(this).find('label').attr('for', id);
$input.attr('id', id);
$input.detach();
$input.prependTo($(this));
$(this).click(function(e) {
e.stopPropagation();
});
});
$(document).on('ready, turbolinks:load', function() {
$('.select2-select').select2({
minimumResultsForSearch: Infinity
});
});
</script>
</div>
</div>
<div class="step step3 coach">
<div class="formHeader">
<div class="row">
<div class="col-md-10 col-xs-10">
<span class="stepHeadline">
<strong>Registration</strong>
</span>
</div>
<div class="col-md-2 col-xs-2">
<a class="closeBtn white" href="javascript:void(0)">×</a>
</div>
</div>
<div class="row">
<div class="col-md-12 col-xs-12">
<div class="custom-progress-wrap custom-progress" data-progress-percent-from="30" data-progress-percent="60">
<div class="custom-progress-bar custom-progress"></div>
</div>
<span class="stepCount white">3 / 4</span>
</div>
</div>
</div>
<div class="white formText"> Request your admission into the bettercoach pool. After positive examination of your profile your account will be activated. </div>
<div class="formContent">
<ul class="parsley-errors-list filled customErrors"></ul>
<div class="form-group">
<label for="coach_preffered_language_id">Language for email communication</label>
<br>
<select class="form-control" required="required" name="coach[preffered_language_id]" id="coach_preffered_language_id">
<option value="">Please Select...</option>
<option value="2">English</option>
<option value="3">French</option>
<option value="1">German</option>
</select>
</div>
<div class="form-group country-code-select-field">
<label for="coach_phone_number">Mobile Phone</label>
<div class="phoneWraper">
<select class="form-control country-code-select2-select select2-hidden-accessible" required="required" name="coach[country_code]" id="coach_country_code" data-select2-id="coach_country_code" tabindex="-1" aria-hidden="true">
<option value=""></option>
<option value="376">Andorra (+376)</option>
<option value="971">United Arab Emirates (+971)</option>
<option value="93">Afghanistan (+93)</option>
<option value="1">Antigua and Barbuda (+1)</option>
<option value="1">Anguilla (+1)</option>
<option value="355">Albania (+355)</option>
<option value="374">Armenia (+374)</option>
<option value="244">Angola (+244)</option>
<option value="672">Antarctica (+672)</option>
<option value="54">Argentina (+54)</option>
<option value="1">American Samoa (+1)</option>
<option value="43">Austria (+43)</option>
<option value="61">Australia (+61)</option>
<option value="297">Aruba (+297)</option>
<option value="358">Aland Islands (+358)</option>
<option value="994">Azerbaijan (+994)</option>
<option value="387">Bosnia and Herzegovina (+387)</option>
<option value="1">Barbados (+1)</option>
<option value="880">Bangladesh (+880)</option>
<option value="32">Belgium (+32)</option>
<option value="226">Burkina Faso (+226)</option>
<option value="359">Bulgaria (+359)</option>
<option value="973">Bahrain (+973)</option>
<option value="257">Burundi (+257)</option>
<option value="229">Benin (+229)</option>
<option value="590">Saint Barthélemy (+590)</option>
<option value="1">Bermuda (+1)</option>
<option value="673">Brunei (+673)</option>
<option value="591">Bolivia (+591)</option>
<option value="599">British Antarctic Territory (+599)</option>
<option value="55">Brazil (+55)</option>
<option value="1">Bahamas (+1)</option>
<option value="975">Bhutan (+975)</option>
<option value="47">Bouvet Island (+47)</option>
<option value="267">Botswana (+267)</option>
<option value="375">Belarus (+375)</option>
<option value="501">Belize (+501)</option>
<option value="1">Canada (+1)</option>
<option value="61">Cocos Islands (+61)</option>
<option value="243">Congo - Kinshasa (+243)</option>
<option value="236">Central African Republic (+236)</option>
<option value="242">Congo - Brazzaville (+242)</option>
<option value="41">Switzerland (+41)</option>
<option value="225">Ivory Coast (+225)</option>
<option value="682">Cook Islands (+682)</option>
<option value="56">Chile (+56)</option>
<option value="237">Cameroon (+237)</option>
<option value="86">China (+86)</option>
<option value="57">Colombia (+57)</option>
<option value="506">Costa Rica (+506)</option>
<option value="53">Cuba (+53)</option>
<option value="238">Cape Verde (+238)</option>
<option value="61">Christmas Island (+61)</option>
<option value="357">Cyprus (+357)</option>
<option value="420">Czech Republic (+420)</option>
<option selected="selected" value="49" data-select2-id="10">Germany (+49)</option>
<option value="253">Djibouti (+253)</option>
<option value="45">Denmark (+45)</option>
<option value="1">Dominica (+1)</option>
<option value="1">Dominican Republic (+1)</option>
<option value="213">Algeria (+213)</option>
<option value="593">Ecuador (+593)</option>
<option value="372">Estonia (+372)</option>
<option value="20">Egypt (+20)</option>
<option value="212">Western Sahara (+212)</option>
<option value="291">Eritrea (+291)</option>
<option value="34">Spain (+34)</option>
<option value="251">Ethiopia (+251)</option>
<option value="358">Finland (+358)</option>
<option value="679">Fiji (+679)</option>
<option value="500">Falkland Islands (+500)</option>
<option value="691">Micronesia (+691)</option>
<option value="298">Faroe Islands (+298)</option>
<option value="33">France (+33)</option>
<option value="241">Gabon (+241)</option>
<option value="44">United Kingdom (+44)</option>
<option value="1">Grenada (+1)</option>
<option value="995">Georgia (+995)</option>
<option value="594">French Guiana (+594)</option>
<option value="44">Guernsey (+44)</option>
<option value="233">Ghana (+233)</option>
<option value="350">Gibraltar (+350)</option>
<option value="299">Greenland (+299)</option>
<option value="220">Gambia (+220)</option>
<option value="224">Guinea (+224)</option>
<option value="590">Guadeloupe (+590)</option>
<option value="240">Equatorial Guinea (+240)</option>
<option value="30">Greece (+30)</option>
<option value="500">South Georgia and the South Sandwich Islands (+500)</option>
<option value="502">Guatemala (+502)</option>
<option value="1">Guam (+1)</option>
<option value="245">Guinea-Bissau (+245)</option>
<option value="592">Guyana (+592)</option>
<option value="852">Hong Kong (+852)</option>
<option value="">Heard Island and McDonald Islands (+)</option>
<option value="504">Honduras (+504)</option>
<option value="385">Croatia (+385)</option>
<option value="509">Haiti (+509)</option>
<option value="36">Hungary (+36)</option>
<option value="62">Indonesia (+62)</option>
<option value="353">Ireland (+353)</option>
<option value="972">Israel (+972)</option>
<option value="44">Isle of Man (+44)</option>
<option value="91">India (+91)</option>
<option value="246">British Indian Ocean Territory (+246)</option>
<option value="964">Iraq (+964)</option>
<option value="98">Iran (+98)</option>
<option value="354">Iceland (+354)</option>
<option value="39">Italy (+39)</option>
<option value="44">Jersey (+44)</option>
<option value="1">Jamaica (+1)</option>
<option value="962">Jordan (+962)</option>
<option value="81">Japan (+81)</option>
<option value="254">Kenya (+254)</option>
<option value="996">Kyrgyzstan (+996)</option>
<option value="855">Cambodia (+855)</option>
<option value="686">Kiribati (+686)</option>
<option value="269">Comoros (+269)</option>
<option value="1">Saint Kitts and Nevis (+1)</option>
<option value="850">North Korea (+850)</option>
<option value="82">South Korea (+82)</option>
<option value="965">Kuwait (+965)</option>
<option value="1">Cayman Islands (+1)</option>
<option value="7">Kazakhstan (+7)</option>
<option value="856">Laos (+856)</option>
<option value="961">Lebanon (+961)</option>
<option value="1">Saint Lucia (+1)</option>
<option value="423">Liechtenstein (+423)</option>
<option value="94">Sri Lanka (+94)</option>
<option value="231">Liberia (+231)</option>
<option value="266">Lesotho (+266)</option>
<option value="370">Lithuania (+370)</option>
<option value="352">Luxembourg (+352)</option>
<option value="371">Latvia (+371)</option>
<option value="218">Libya (+218)</option>
<option value="212">Morocco (+212)</option>
<option value="377">Monaco (+377)</option>
<option value="373">Moldova (+373)</option>
<option value="382">Montenegro (+382)</option>
<option value="590">Saint Martin (+590)</option>
<option value="261">Madagascar (+261)</option>
<option value="692">Marshall Islands (+692)</option>
<option value="389">Macedonia (+389)</option>
<option value="223">Mali (+223)</option>
<option value="95">Myanmar (+95)</option>
<option value="976">Mongolia (+976)</option>
<option value="853">Macau (+853)</option>
<option value="1">Northern Mariana Islands (+1)</option>
<option value="596">Martinique (+596)</option>
<option value="222">Mauritania (+222)</option>
<option value="1">Montserrat (+1)</option>
<option value="356">Malta (+356)</option>
<option value="230">Mauritius (+230)</option>
<option value="960">Maldives (+960)</option>
<option value="265">Malawi (+265)</option>
<option value="52">Mexico (+52)</option>
<option value="60">Malaysia (+60)</option>
<option value="258">Mozambique (+258)</option>
<option value="264">Namibia (+264)</option>
<option value="687">New Caledonia (+687)</option>
<option value="227">Niger (+227)</option>
<option value="672">Norfolk Island (+672)</option>
<option value="234">Nigeria (+234)</option>
<option value="505">Nicaragua (+505)</option>
<option value="31">Netherlands (+31)</option>
<option value="47">Norway (+47)</option>
<option value="977">Nepal (+977)</option>
<option value="674">Nauru (+674)</option>
<option value="683">Niue (+683)</option>
<option value="64">New Zealand (+64)</option>
<option value="968">Oman (+968)</option>
<option value="507">Panama (+507)</option>
<option value="51">Peru (+51)</option>
<option value="689">French Polynesia (+689)</option>
<option value="675">Papua New Guinea (+675)</option>
<option value="63">Philippines (+63)</option>
<option value="92">Pakistan (+92)</option>
<option value="48">Poland (+48)</option>
<option value="508">Saint Pierre and Miquelon (+508)</option>
<option value="64">Pitcairn (+64)</option>
<option value="1">Puerto Rico (+1)</option>
<option value="970">Palestinian Territory (+970)</option>
<option value="351">Portugal (+351)</option>
<option value="680">Palau (+680)</option>
<option value="595">Paraguay (+595)</option>
<option value="974">Qatar (+974)</option>
<option value="262">Reunion (+262)</option>
<option value="40">Romania (+40)</option>
<option value="381">Serbien (+381)</option>
<option value="7">Russia (+7)</option>
<option value="250">Rwanda (+250)</option>
<option value="966">Saudi Arabia (+966)</option>
<option value="677">Solomon Islands (+677)</option>
<option value="248">Seychelles (+248)</option>
<option value="249">Sudan (+249)</option>
<option value="46">Sweden (+46)</option>
<option value="65">Singapore (+65)</option>
<option value="290">Saint Helena (+290)</option>
<option value="386">Slovenia (+386)</option>
<option value="47">Svalbard and Jan Mayen (+47)</option>
<option value="421">Slovakia (+421)</option>
<option value="232">Sierra Leone (+232)</option>
<option value="378">San Marino (+378)</option>
<option value="221">Senegal (+221)</option>
<option value="252">Somalia (+252)</option>
<option value="597">Suriname (+597)</option>
<option value="239">Sao Tome and Principe (+239)</option>
<option value="503">El Salvador (+503)</option>
<option value="963">Syria (+963)</option>
<option value="268">Swaziland (+268)</option>
<option value="1">Turks and Caicos Islands (+1)</option>
<option value="235">Chad (+235)</option>
<option value="262">French Southern Territories (+262)</option>
<option value="228">Togo (+228)</option>
<option value="66">Thailand (+66)</option>
<option value="992">Tajikistan (+992)</option>
<option value="690">Tokelau (+690)</option>
<option value="670">East Timor (+670)</option>
<option value="993">Turkmenistan (+993)</option>
<option value="216">Tunisia (+216)</option>
<option value="676">Tonga (+676)</option>
<option value="90">Turkey (+90)</option>
<option value="1">Trinidad and Tobago (+1)</option>
<option value="688">Tuvalu (+688)</option>
<option value="886">Taiwan (+886)</option>
<option value="255">Tanzania (+255)</option>
<option value="380">Ukraine (+380)</option>
<option value="256">Uganda (+256)</option>
<option value="1">United States Minor Outlying Islands (+1)</option>
<option value="1">United States (+1)</option>
<option value="598">Uruguay (+598)</option>
<option value="998">Uzbekistan (+998)</option>
<option value="39">Vatican (+39)</option>
<option value="1">Saint Vincent and the Grenadines (+1)</option>
<option value="58">Venezuela (+58)</option>
<option value="1">British Virgin Islands (+1)</option>
<option value="1">U.S. Virgin Islands (+1)</option>
<option value="84">Vietnam (+84)</option>
<option value="678">Vanuatu (+678)</option>
<option value="681">Wallis and Futuna (+681)</option>
<option value="685">Samoa (+685)</option>
<option value="967">Yemen (+967)</option>
<option value="262">Mayotte (+262)</option>
<option value="27">South Africa (+27)</option>
<option value="260">Zambia (+260)</option>
<option value="263">Zimbabwe (+263)</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="9" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-coach_country_code-container"><span class="select2-selection__rendered" id="select2-coach_country_code-container" role="textbox"
aria-readonly="true" title="Germany (+49)"><span>+49</span></span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper"
aria-hidden="true"></span></span>
<input class="form-control" minlength="3" required="required" type="text" name="coach[phone_number]" id="coach_phone_number">
</div>
</div>
<div class="form-group">
<label for="coach_country">Country</label>
<select class="form-control js-reinit-geo select2-select select2-hidden-accessible" required="required" name="coach[country]" id="coach_country" data-select2-id="coach_country" tabindex="-1" aria-hidden="true">
<option value=""></option>
<option value="AF">Afghanistan</option>
<option value="AX">Aland Islands</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua and Barbuda</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BY">Belarus</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia</option>
<option value="BA">Bosnia and Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="BQ">British Antarctic Territory</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="VG">British Virgin Islands</option>
<option value="BN">Brunei</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="CT">Canton and Enderbury Islands</option>
<option value="CV">Cape Verde</option>
<option value="KY">Cayman Islands</option>
<option value="CF">Central African Republic</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo - Brazzaville</option>
<option value="CD">Congo - Kinshasa</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="NQ">Dronning Maud Land</option>
<option value="DD">East Germany</option>
<option value="TL">East Timor</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="ET">Ethiopia</option>
<option value="QU">European Union</option>
<option value="FK">Falkland Islands</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="FQ">French Southern and Antarctic Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option selected="selected" value="DE" data-select2-id="8">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GG">Guernsey</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard Island and McDonald Islands</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IM">Isle of Man</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="CI">Ivory Coast</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JE">Jersey</option>
<option value="JT">Johnston Island</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Laos</option>
<option value="LV">Latvia</option>
<option value="LB">Lebanon</option>
<option value="LS">Lesotho</option>
<option value="LR">Liberia</option>
<option value="LY">Libya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macau</option>
<option value="MK">Macedonia</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="FX">Metropolitan France</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia</option>
<option value="MI">Midway Islands</option>
<option value="MD">Moldova</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="AN">Netherlands Antilles</option>
<option value="NT">Neutral Zone</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="KP">North Korea</option>
<option value="VD">North Vietnam</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="QO">Outlying Oceania</option>
<option value="PC">Pacific Islands Trust Territory</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestinian Territory</option>
<option value="PA">Panama</option>
<option value="PZ">Panama Canal Zone</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="YD">People's Democratic Republic of Yemen</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Reunion</option>
<option value="RO">Romania</option>
<option value="RU">Russia</option>
<option value="RW">Rwanda</option>
<option value="BL">Saint Barthélemy</option>
<option value="SH">Saint Helena</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="MF">Saint Martin</option>
<option value="PM">Saint Pierre and Miquelon</option>
<option value="VC">Saint Vincent and the Grenadines</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome and Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="CS">Serbia and Montenegro</option>
<option value="RS">Serbien</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia and the South Sandwich Islands</option>
<option value="KR">South Korea</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syria</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania</option>
<option value="TH">Thailand</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks and Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="PU">U.S. Miscellaneous Pacific Islands</option>
<option value="VI">U.S. Virgin Islands</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="SU">Union of Soviet Socialist Republics</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US">United States</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="ZZ">Unknown or Invalid Region</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VA">Vatican</option>
<option value="VE">Venezuela</option>
<option value="VN">Vietnam</option>
<option value="WK">Wake Island</option>
<option value="WF">Wallis and Futuna</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="7" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-coach_country-container"><span class="select2-selection__rendered" id="select2-coach_country-container" role="textbox"
aria-readonly="true" title="Germany">Germany</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
<div class="form-group">
<label for="coach_complete_address">Address</label>
<span class="info-help-tool help-tool red-tooltip" data-placement="top" data-toggle="tooltip" title="" data-original-title="Please write the name of the location in English to help our matching team find the best match for you.">?</span>
<input class="form-control coachFullAddress" placeholder="Street / No., ZIP / City" required="required" type="text" value="" name="coach[complete_address]" id="coach_complete_address">
<div class="coachHiddenAddressDetails">
<input type="hidden" name="location_error_text" id="location_error_text" value="Please select a city from the list.">
<input data-geo="locality" type="hidden" name="coach[city]" id="coach_city">
<input data-geo="administrative_area_level_1" type="hidden" name="coach[administrative_area1]" id="coach_administrative_area1">
<input data-geo="administrative_area_level_2" type="hidden" name="coach[administrative_area2]" id="coach_administrative_area2">
<input data-geo="route" type="hidden" name="coach[street]" id="coach_street">
<input data-geo="street_number" type="hidden" name="coach[street_number]" id="coach_street_number">
<input data-geo="postal_code" type="hidden" name="coach[zip]" id="coach_zip">
</div>
</div>
<div class="form-group">
<label class="email optional" for="coach_email">Email</label>
<input class="form-control" required="required" type="email" value="" name="coach[email]" id="coach_email">
</div>
<div class="form-group">
<label for="coach_password">Password</label>
<input class="form-control coachPassword" required="required" minlength="8" data-parsley-required-message="This is a mandatory field." data-parsley-pattern="^(?=.*[A-Z])(?=.*[!@*])(?=.*[0-9])(?=.*[a-z]).{8,}$"
data-parsley-pattern-message="In order to have a strong password, please include at least : <ul> <li>Eight characters</li> <li>One uppercase or capital letter (ex: A, B, etc.)</li> <li>One lowercase letter</li> <li>One number digit (ex: 0, 1, 2, 3, etc.)</li> <li>One special character-for example: $, #, @, !,%,^, -, ?,&,*</li> </ul>"
type="password" name="coach[password]" id="coach_password">
</div>
<div class="form-group">
<label for="coach_password_confirmation">Confirm Password</label>
<input class="form-control" data-parsley-equalto=".coachPassword" required="required" type="password" name="coach[password_confirmation]" id="coach_password_confirmation">
</div>
<div class="form-group">
<div class="verify-registration" id="verify-coach-registration"></div>
<ul class="parsley-errors-list captcha-error">
<li class="parsley-required"> Please verify that you are not a robot. </li>
</ul>
</div>
<div class="form-group">
<input name="coach[terms_and_conditions]" type="hidden" value="0"><input class="form-control css-checkbox" required="required" type="checkbox" value="1" name="coach[terms_and_conditions]" id="coach_terms_and_conditions">
<label class="css-label lite-blue-check" for="coach_terms_and_conditions"></label>
<div class="tos"> I hereby accept the general <a href="/agb?locale=en" target="_blank">terms and conditions</a> as well as the <a href="/datenschutz?locale=en" target="_blank">data privacy statement</a> of the bettercoach.de GmbH. </div>
</div>
<div class="twoAdjustentButtons">
<button class="btn btn-primary btn-lg coachStep3BackButton" data-step-current="step3" data-step-prev="step2">Back</button>
<button name="button" type="submit" class="btn btn btn-primary btn-lg">Register</button>
</div>
<script src="/assets/bootstrap-multiselect-a4b2c79be0f5468529c270da01ee9e758ff3cdbdb63990c1bf69324a01c6f2f6.js"></script>
</div>
</div>
</form>POST /employees?locale=en
<form class="simple_form registerEmployeeForm" novalidate="novalidate" id="new_employee" action="/employees?locale=en" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token"
value="NcN6aCkzA4j/PQjt2OP6QsGvJK8PwHJ8BpKgxfzDDRjjItdb0PuKOgYB5uLSR7aIZfrRcclzH6la5wQyAvi5Mw=="><input type="hidden" name="employee[company_id]" id="employee_company_id">
<input type="hidden" name="employee[company_id]" id="employee_company_id">
<div class="form-group">
<span class="type-2-span"> Your Account </span>
</div>
<div class="row">
<div class="col-md-12 col-xs-12">
<div class="form-group">
<label for="employee_gender_cd">Title <em class="sr-only"></em></label>
<select class="form-control" required="required" data-parsley-required-message="This is a mandatory field." name="employee[gender_cd]" id="employee_gender_cd">
<option value="">- Please select -</option>
<option value="0">Mr</option>
<option value="1">Ms</option>
<option value="2">Mx</option>
</select>
<span class="sr-only"> This is a mandatory field. </span>
</div>
</div>
</div>
<div class="row">
<div class="col-md-6 col-xs-6">
<div class="form-group">
<input class="form-control" required="required" data-parsley-required-message="This is a mandatory field." placeholder="First name" type="text" name="employee[first_name]" id="employee_first_name">
</div>
<span class="sr-only"> This is a mandatory field. </span>
</div>
<div class="col-md-6 col-xs-6">
<div class="form-group">
<input class="form-control" required="required" data-parsley-required-message="This is a mandatory field." placeholder="Last name" type="text" name="employee[last_name]" id="employee_last_name">
<span class="sr-only"> This is a mandatory field. </span>
</div>
</div>
</div>
<div class="form-group">
<input class="form-control" required="required" data-parsley-required-message="This is a mandatory field." placeholder="Phone number" type="text" name="employee[phone]" id="employee_phone">
<span class="sr-only"> This is a mandatory field. </span>
</div>
<div class="row">
<div class="col-md-12 col-xs-12">
<div class="form-group">
<label for="employee_preffered_language_id">Language for email communication</label>
<select class="form-control" required="required" data-parsley-required-message="This is a mandatory field." name="employee[preffered_language_id]" id="employee_preffered_language_id">
<option value="">- Please select -</option>
<option value="2">English</option>
<option value="3">French</option>
<option selected="selected" value="1">German</option>
</select>
</div>
<span class="sr-only"> This is a mandatory field. </span>
</div>
</div>
<br>
<div class="form-group info-password">
<label class="type-2-span" for="employee_email">Login data</label>
<span class="info-help-tool info-tip pull-right" data-toggle="tooltip" data-placement="top" title="" data-original-title=""><i class="glyphicon glyphicon-info-sign"></i></span>
<span class="sr-only"> In case the employee's assistant conducts the registration and order, please enter the assistant’s email address below. All notifications on the platform will be only forwarded to the provided email address. </span>
<span class="info-help-tool help-tool red-tooltip pull-right" data-toggle="tooltip" data-placement="top" title="" data-original-title="">?</span>
<span class="sr-only"> For security reasons please do not use your internal company password. </span>
<input class="form-control coachee_registration_email" required="required" data-parsley-required-message="This is a mandatory field."
aria-label="Login dataYour email or email of your assistantIn case the employee's assistant conducts the registration and order, please enter the assistant’s email address below. All notifications on the platform will be only forwarded to the provided email address."
type="email" value="" name="employee[email]" id="employee_email">
<span class="sr-only">This is a mandatory field.</span>
<span class="email_exists_error customErrors">Email already used. If you have an account already, please log in to your account and submit the enquiry via your account. In case a specific program/measure is not available in your account, please
create a new account with a different email.</span>
</div>
<div class="row">
<div class="col-md-12 col-xs-12">
<div class="form-group info-password">
<input class="form-control coacheePassword" required="required" minlength="8" data-parsley-required-message="This is a mandatory field." data-parsley-pattern="^(?=.*?[A-Z])(?=.*?[a-z])(?=.*?[0-9])(?=.*?[#?!@$%^&*-]).{8,70}$"
data-parsley-pattern-message="In order to have a strong password, please include at least : <ul> <li>Eight characters</li> <li>One uppercase or capital letter (ex: A, B, etc.)</li> <li>One lowercase letter</li> <li>One number digit (ex: 0, 1, 2, 3, etc.)</li> <li>One special character-for example: $, #, @, !,%,^, -, ?,&,*</li> </ul>"
placeholder="Password" aria-label="PasswordFor security reasons please do not use your internal company password." id="company_employee_password" type="password" name="employee[password]">
<span class="sr-only"> This is a mandatory field. </span>
</div>
</div>
<div class="col-md-12 col-xs-12">
<div class="form-group">
<input class="form-control coacheePassword" required="required" minlength="8" data-parsley-required-message="This is a mandatory field." data-parsley-equalto="#company_employee_password" placeholder="Confirm Password" type="password"
name="employee[password_confirmation]" id="employee_password_confirmation">
<span class="sr-only"> This is a mandatory field. </span>
</div>
</div>
</div>
<div class="form-group">
<div class="verify-registration" id="verify-employee-registration"></div>
<ul class="parsley-errors-list captcha-error">
<li class="parsley-required"> Please verify that you are not a robot. </li>
</ul>
</div>
<div class="twoAdjustentButtons">
<button class="btn btn-md zuruckStep2Button">Back</button>
<button class="btn btn-primary step_2_employenextButton" data-step-current="step2" data-step-next="step3" data-window-title="Enquiry Details - Implementation"> Continue </button>
</div>
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BETTER RESULTS, LESS TASKS.
Manage all coaching, workshop and change activities in one place. With our
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EXPERIENCED POOL
* MICHAELA BRILL
COACH FOR EXECUTIVES & TEAMS
Short profile
* 8 years of management experience in corporate and internal communications
* Master in Journalism and Communications, ICF-Professional Certified Coach
* Top 3 references: Sanofi, Airbus, LVMH
Your enquiry
* HOLGER HAUSFELD
COACH AND MEDIATOR FOR EXECUTIVES & TEAMS
Short profile
* 30 years of leadership experience
* MBA Edinburgh, certified systemic coach
* Top 3 references: Sony, BASF, Deutsche Bahn
Your enquiry
* ULLI GEPPERT
COACH FOR EXECUTIVES & TEAMS
Short profile
* 25 years of leadership experience i.a. Media Markt Saturn
* MSc in organisational psychology, coaching education through Oxford
Leadership
* Top 3 references: Allianz, Novartis, UniCredit
Your enquiry
* KARIN WIESENTHAL
COACH AND CO-CREATION FACILITATOR FOR EXECUTIVES & TEAMS
Short profile
* 10 years of leadership and management experience
* Diploma in Computer Science, ICF-accreditation
* References mainly in large national and multinational companies
Your enquiry
* TOBIAS LEIPPRAND
TRANSFORMATION FACILITATOR FOR TEAMS & ORGANISATIONS
Short profile
* Social entrepreneur and founder of the Lead Academy, previously consultant
i.a. at McKinsey
* MPP Harvard, MSc Cambridge
* Top 3 references: Babbel, Ted Talks, Ziegert
Your enquiry
* BIRGIT STRÖBEL
TRANSFORMATION FACILITATOR FOR TEAMS & ORGANISATIONS
Short profile
* 20 years of leadership and entrepreneurial experience, e.g.
ImmobilienScout24
* Certified coach and facilitator for transformational leadership
* Top 3 references: FriendScout24, Holidayinsider, Gini
Your enquiry
* JÜRGEN HOLM
COACH AND MEDIATOR FOR EXECUTIVES & TEAMS
Short profile
* 30 years of leadership experience
* Diploma in BA and organisational psychology, certified coach and mediator
* Top 3 references: BCG, Infineon, Allianz
Your enquiry
* PIERRE NEIS
AGILE COACH FOR TEAMS & ORGANISATIONS
Short profile
* 15 years of experience as an agile coach
* Entrepreneur and founder of Play14, Lean Kanban FR, Agile4HR, PLöRK
* Top 3 references: BCG Digital Ventures, BNP, SAP
Your enquiry
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We provide a global pool of coaches, facilitators and change consultants. Our
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The pool will be designed based on your managers’ demand per management group,
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yourself or let us take over.
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Your managers submit their evaluations easily, always accessible for HR.
Together, we assess and develop your expert pool continuously.
WORKFLOW & SUPPORT
The workflow is organised end-to-end: from enquiry submission to matching,
selection, session reporting and evaluation. We also keep track of all your
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The ordering and billing process is fully digitised. View all your invoices in
one place and choose between single (per engagement) or collective (per
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Track and review your engagements and costs per BU. On demand, we customise your
reporting on a monthly basis.
* ANNETTE SCHMALL
SENIOR EXPERT HR DEVELOPMENT
Case Studies
DEUTSCHE TELEKOM
We have outsourced the organisation of one-on-one and team coachings to
bettercoach and are impressed by the high coach quality and smooth
cooperation. Our employees organise their coachings digitally and
autonomously. Further, we could reduce our administrative process due to a
collective order and invoicing system provided by bettercoach.
* SILKE RAAF
DIRECTOR SENIOR EXECUTIVE AND LEADERSHIP DEVELOPMENT
Case Studies
BASF
Thanks to bettercoach, we have digitised the engagement of various measures
(coaching, workshops, change projects) in a very short time. We appreciate
bettercoach's agile and pleasant approach to a great deal. The Coaching
Management System enables us to access detailed reportings and we concentrate
on our strategic tasks.
* STEFANIE KLUTH
HUMAN RESOURCES PEOPLE MANAGEMENT GERMANY
Case Studies
LANXESS
bettercoach has developed a high-quality pool consisting of our coaches and
new experts. The onboarding of our coaches, as well as recording pitch
videos, has worked perfectly. We could thus improve the matching & selection
process for our employees and leaders significantly.
* STEPHANIE PHILIPP
HEAD OF LEARNING AND DEVELOPMENT
Case Studies
CAPGEMINI
We receive very positive feedbacks - our employees appreciate to be supported
by a coach in a simple, fast and professional way. We constantly track our
coaching activities, review evaluations and reduce our organisational tasks
for coaching.
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Leadership experience (in years) ? Please Select... 0 1 2 3 4 5 6 7 8 9 10 11 12
13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
40Please Select...
Coaching experience (since) ? Please Select... 2021 2020 2019 2018 2017 2016
2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000
1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984
1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968
1967 1966 1965 1964 1963 1962Please Select...
Coaching experience (in hours) ? Please Select... 250 500 750 1000 1250 1500
1750 2000 2250 2500 2750 3000Please Select...
Formats ?
incl. virtual
Min rate
Individual Coaching
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/hour 325 /hour 350 /hour 375 /hour 400 /hour 425 /hour 450 /hour 475 /hour 500
/hour 525 /hour 550 /hour 575 /hour 600 /hour
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4400 /day 4500 /day 4600 /day 4700 /day 4800 /day
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4400 /day 4500 /day 4600 /day 4700 /day 4800 /day
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4400 /day 4500 /day 4600 /day 4700 /day 4800 /day
Change Management
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2000 /day 2100 /day 2200 /day 2300 /day 2400 /day 2500 /day 2600 /day 2700 /day
2800 /day 2900 /day 3000 /day 3100 /day 3200 /day 3300 /day 3400 /day 3500 /day
3600 /day 3700 /day 3800 /day 3900 /day 4000 /day 4100 /day 4200 /day 4300 /day
4400 /day 4500 /day 4600 /day 4700 /day 4800 /day
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3600 /day 3700 /day 3800 /day 3900 /day 4000 /day 4100 /day 4200 /day 4300 /day
4400 /day 4500 /day 4600 /day 4700 /day 4800 /day
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Andorra (+376) United Arab Emirates (+971) Afghanistan (+93) Antigua and Barbuda
(+1) Anguilla (+1) Albania (+355) Armenia (+374) Angola (+244) Antarctica (+672)
Argentina (+54) American Samoa (+1) Austria (+43) Australia (+61) Aruba (+297)
Aland Islands (+358) Azerbaijan (+994) Bosnia and Herzegovina (+387) Barbados
(+1) Bangladesh (+880) Belgium (+32) Burkina Faso (+226) Bulgaria (+359) Bahrain
(+973) Burundi (+257) Benin (+229) Saint Barthélemy (+590) Bermuda (+1) Brunei
(+673) Bolivia (+591) British Antarctic Territory (+599) Brazil (+55) Bahamas
(+1) Bhutan (+975) Bouvet Island (+47) Botswana (+267) Belarus (+375) Belize
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France (+33) Gabon (+241) United Kingdom (+44) Grenada (+1) Georgia (+995)
French Guiana (+594) Guernsey (+44) Ghana (+233) Gibraltar (+350) Greenland
(+299) Gambia (+220) Guinea (+224) Guadeloupe (+590) Equatorial Guinea (+240)
Greece (+30) South Georgia and the South Sandwich Islands (+500) Guatemala
(+502) Guam (+1) Guinea-Bissau (+245) Guyana (+592) Hong Kong (+852) Heard
Island and McDonald Islands (+) Honduras (+504) Croatia (+385) Haiti (+509)
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India (+91) British Indian Ocean Territory (+246) Iraq (+964) Iran (+98) Iceland
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Liechtenstein (+423) Sri Lanka (+94) Liberia (+231) Lesotho (+266) Lithuania
(+370) Luxembourg (+352) Latvia (+371) Libya (+218) Morocco (+212) Monaco (+377)
Moldova (+373) Montenegro (+382) Saint Martin (+590) Madagascar (+261) Marshall
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(+853) Northern Mariana Islands (+1) Martinique (+596) Mauritania (+222)
Montserrat (+1) Malta (+356) Mauritius (+230) Maldives (+960) Malawi (+265)
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(+84) Vanuatu (+678) Wallis and Futuna (+681) Samoa (+685) Yemen (+967) Mayotte
(+262) South Africa (+27) Zambia (+260) Zimbabwe (+263)+49
Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican
SamoaAndorraAngolaAnguillaAntarcticaAntigua and
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia
and HerzegovinaBotswanaBouvet IslandBrazilBritish Antarctic TerritoryBritish
Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina
FasoBurundiCambodiaCameroonCanadaCanton and Enderbury IslandsCape VerdeCayman
IslandsCentral African RepublicChadChileChinaChristmas IslandCocos
IslandsColombiaComorosCongo - BrazzavilleCongo - KinshasaCook IslandsCosta
RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican
RepublicDronning Maud LandEast GermanyEast TimorEcuadorEgyptEl
SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEuropean UnionFalkland
IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench
Southern TerritoriesFrench Southern and Antarctic
TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
Island and McDonald IslandsHondurasHong
KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory
CoastJamaicaJapanJerseyJohnston
IslandJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMetropolitan
FranceMexicoMicronesiaMidway
IslandsMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands
AntillesNeutral ZoneNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk
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Republic of YemenPeruPhilippinesPitcairnPolandPortugalPuerto
RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and
NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the
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KoreaSpainSri LankaSudanSurinameSvalbard and Jan
MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad
and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S.
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