Centre for Applied Neuroscience (CAN) Life Coach Training Program and General Interest Course
please provide your first and last name
Please provide your phone number
please provide your email address as contact info
Current Occupation & Education
please describe your current occupation and your education. List all degrees and relevant certificates, etc.
What is the nature of your interest in pursuing the CAN Life Coaching Course (check all that apply)
To become a professional life coach
To complement my existing occupation
As continuing education
Describe your interests further
Please take a moment to further describe why this course is of interest to you, including what you hope to gain from this course.
Do you have an undergraduate degree?
In the process of completing
Took some course but did not complete my degree
Did not attend university
Why do you want to become a Life Coach?
Please explain why you want to become a Life Coach and if you have any related background (including university course work, work experience, life experience, etc.). Do not replicate information provided above.
please list the training location that interests you (check all that apply)
I would like information on how I could bring CAN to my region.
In which city, country do you currently live? (online applicants only need to answer this question)
please indicated which of the following documentation you will be sending directly to the Centre for Applied Neuroscience
Resume or Curriculum Vitae (via email)
Official Transcripts (ordered directly from University - this only applies to those seeking certification and will be required before certification begins)
Is there another name that might be listed on your transcripts?
If so, please provide that in the space below
Where did you hear about us?
A Former Student Told Me About the Course
A Friend Told Me About the Course
I saw a presentation or took a class with Dr. Mandy Wintink
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