Certified Worth-it Coach Application

Certified Worth-it Coach Application
About you and your work
Name*

First NameLast Name
Email*
example@example.com
Full Name of School/Organisation*
Where are you based?*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Do you have access to 10 to 12 young people aged 13-25 to complete 50 hours of coaching?*

YesNoDon't know yet
Which Coach Training cohort would you like to attend?
Which of these best describes the environment you work in?*
How will you be funding your training and licence?*

I am self-fundingMy school or organisation will be funding
Do you have the authority to make funding decisions?*

Yes, I can make the decision by myself.No, I have a line manager or someone to consult on the decision.No, I'm looking on behalf of a client(s) and will need their approval.No, I'm an employee researching on behalf of the school or organisation

About you and your work