Application to the Trauma-Informed Coaching Learning Community (TIC-LC)

Application to the Trauma-Informed Coaching Learning Community (TIC-LC)
Hello! Thank you for your interest in applying for the Trauma-Informed Coaching Learning Community (TIC-LC). Please know that the information you provide will be held as confidential, and used to determine the best fit for the current cohort of the TIC-LC. If you have any problems with this form, please contact Susana Rinderle directly at susana@wordswisdomwellness.com.

We look forward to reviewing your application!
Name *

First Name Last Name
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Best Phone Number *
Please enter a valid phone number.
Website or LinkedIn URL (if applicable)

BASIC QUESTIONS to get to know you better
What inspired you to apply to the TIC-LC? *
What is your current work situation (profession, organization, role) and your professional goals? *
What do you hope to gain from participating in the TIC-LC? *
What will you contribute to the TIC-LC (your cohort)? *

BASIC AGREEMENTS to check our alignment
The TIC-LC lasts six months and involves one 90-minute session per month, including case review of current coaching clients. Are you prepared to make that commitment to yourself and your cohort? *

Yes No I'm not sure It depends
The TIC-LC requires an investment of $997 per person (valued at $2700!). How will you make that investment? (Ex: your organization's budget, your personal funds, preferred payment plan) *

DEMOGRAPHIC QUESTIONS to better understand your context
From a trauma/stress load perspective, what are your main stressors and resources right now? *
How do you identify in terms of race, ethnicity and nationality? *
How do you identify in terms of gender, gender identity and sexual orientation? *
What are your pronouns? *
What else is important for us to know about you or your identity?

WRAPPING UP!
What concerns or doubts do you have about your participation in the TIC-LC? *
What questions do you have?
Thank you for completing your application! Please be sure to click on "Submit" so we receive it right away. You will hear back from us within a week.
Should be Empty:

BASIC QUESTIONS to get to know you better