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DYL VIRTUAL Coach Certification Workshop Application: February 2021
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* Indicates required question
Name
*
Your answer
Email
*
Your answer
Coaching Practice or Employer (or self)
*
Your answer
Website or LinkedIn Profile
*
Your answer
Mailing Address
*
Your answer
Brief Description of your Practice (2-3 sentences)
*
Your answer
In what capacity are you hoping to utilize the DYL Coach Certification?
*
Please check all that apply
One-on-one or small group (less than 10) coaching through my own practice
One-on-one or small group (less than 10) coaching through my employer
One-on-one or small group (less than 10) coaching through a College or University
Running workshops (larger than 10) using DYL content
Other:
Required
Relevant Coaching Certification, Counseling Certification or degree
*
Your answer
Years of experience as a coach or counselor
*
Your answer
DYL Previous Workshop
*
DYL Intensive
DYL for Women
Online: Creative Live *You can complete this online course anytime between now and the start of the workshop.
Previous workshop date of completion
*
MM
/
DD
/
YYYY
How did you hear about the DYL Coach Certification Program?
DYL Website
DYL Newsletter
Friend or Colleague
LinkedIN
Other:
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Thank you for your interest in the Virtual DYL Coach Certification Workshop!
We will be in touch with you as soon as possible!
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