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Pet Loss Grief Mentor Certification
Pet Loss Grief Mentor Certification -Application - Questionnaire
Name *
Your answer
Phone *
Your answer
Time Zone *
Your answer
email address *
Your answer
In your own words explain what is a Pet Loss Grief Mentor. *
Your answer
What is your current profession? *
Your answer
Will you be needing RACE certification for this course *
Is there a certification board that you could suggest for this course to be submitted for approval? *
If you answered yes to the above question what is the name and url of that board?
Your answer
Why do you want to become a Pet Loss Grief Mentor besides helping people? *
Your answer
How would you respond to someone who has lost a pet? Check all that apply. *
Required
What is your definition of confidentiality? *
Your answer
What is your definition of ethics *
Your answer
What is it that you really want to be and do? *
Your answer
What are you doing really well that is helping you get there? *
Your answer
What are you not doing well that is preventing you from getting there? *
Your answer
What will you do different tomorrow to meet those challenges? *
Your answer
Grief work is very difficult. Do you feel as if you have the stamina to be present, sensitive, and professional with your clients. Why? *
Your answer
How do you feel about death? *
Your answer
Are you self-directed? *
Are you able to meet deadlines without reminders? *
Do you like to laugh and have fun even with a tough subject? *
Do you understand that this certification is to train you to become a mentor for one on one sessions with your clients? This course does not certify you to become a group facilitator or to train others to become pet loss grief mentors, etc. *
Do you have any concerns that might affect your participation in this training? *
If you answered yes to the above question please tell me why.
Your answer
The cost of this 13 module online course with videos, quizzes, homework, labs, and a monthly webinar or phone conversation is $2500. Which is your payment preference? *There are no scholarships at this time. *
Are you willing to complete all assignments by stated deadlines *
Are you willing to offer testimonials? *
I understand the material in this class is copyrighted and not to be used for commercial purposes, train others to become pet loss grief mentors/coach, etc *
Is there anything you would like to add?
Your answer
Please Electronically sign your name below that you agree to the answers of this document and date...Thank you. *
Your answer
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