Coaching application
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
How do you prefer to be reached?
Email
Text
Please provide the LINKS to all relevant social media accounts.
Instagram handle
TikTok handle
Youtube handle
Facebook handle
LinkedIn handle
What is your professional title? (Example: Therapist turned self-care coach, Mindset coach, Confidence Coach, Embodiment coach, etc.)
How did you hear about us?
Social media
I was referred
The company reached out to me
If you were referred, who referred you?
Do you have an active coaching certification or license?
Yes
No
If yes, please list your license(s) and certification(s) here.
Do you have a bachelors degree or higher in your chosen field?
Yes
No
If yes, please list your school and degree(s).
Are you a licensed therapist?
Yes
No
Approximately how many clients have you worked with?
Have you ever provided in person workshops before?
Yes
No
If so, how many?
Have you provided VIRTUAL workshops before?
Yes
No
If so, how many?
Do you know any other coaches who might be interested in joining us?
Yes
No
Maybe
After this is submitted you will receive an email with the next steps.
Submit
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