DCA® Divorce Coach Certification Application

Name*

First NameLast Name
Email*

Confirmation Emailexample@example.com
Phone Number (please note format)*

Country Code (leave blank for US)Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal/Zip CodeCountry
General/USAustraliaNew ZealandArabian GulfCanada
Tell us a little about yourself. Are you currently employed? What do you do for fun?:*

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High school or high school equivalent2 year degree4 year undergraduateMaster'sDoctorateOther
Do you currently hold any professional credentials or designations?*

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What is the primary reason you are interested in becoming a certified divorce coach?*

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What are you most looking forward to learning in the program?*

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Describe any personal or professional experience you have with divorce:*

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If you've had your own divorce experience, describe how you feel emotionally prepared to safely engage with others having similar experiences. What makes you ready to coach from your scar and not from your wound?

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What strengths will you bring to your clients? What's the secret sauce that will make you an effective divorce coach following certification?*

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How do you believe an alternative dispute resolution approach to divorce benefits individuals and families?*

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ASAP1-2 months3-6 months6-12 monthsA year or more
YesNoNot Sure
YesNoNot Sure
YesNoNot sure
Is there anything else you would like us to know or consider when reviewing your application for admission?

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How did you hear about DCA's ADR Divorce Coach Certification program?*

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Please read and check the box below to indicate your agreement:
1. I understand that representatives of Divorce Coaches Academy® LLC will review my application and may contact me at the email address provided.
2. By submitting this application, I certify that all information is accurate and any included professional designations or credentials are current.
3. I understand that Divorce Coaches Academy's approach to divorce coaching is grounded in the principles of alternative dispute resolution. DCA® supports emotional management, flexible thinking, interest based negotiation and values based decision making as foundational to creating a kinder, gentler divorce process for individuals and families.
4. A non-refundable $75 application fee is due with submission of this application and covers processing costs and your personal admission interview. Once admitted to the program, this fee will be deducted from the remaining program fee which must be paid to confirm your enrollment and reserve your spot.
5. Any promotional or coupon codes can be entered and will be applied at the time the program fee is paid - they are not valid toward your application fee.
6. I have reviewed the program requirements and am committed to investing the time and effort necessary to complete my certification.
7. All application and tuition fees are billed in USD at the current exchange rate and international currency charges may apply. Check with your credit card company for information on international transactions if you have questions.
8. DCA® reserves the right to deny or defer my admission to the program.
9. Once enrolled in the program, tuition and fees are non-refundable 14 days after start of the course. Should you choose to drop the course, cancellation requests must be made in writing before the end of the second week of class.
SCHEDULE YOUR ADMISSION INTERVIEW:

If we haven't met for an information session or met previously, please schedule a one-on-one meeting via the link below or contact us to arrange an alternate time.

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Check the Box to Pay Your Application Fee *

DCA® Divorce Coach Certification Application Fee

Payment is required at time of application in order for an admission interview to be scheduled. (coupon codes are valid for enrollment fees, they cannot be applied to your application fee)

$75.00

Total

$0.00

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We're excited to receive your application and are looking forward to your personal admissions interview so we can get to know you a bit better and tell you more about the program.

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