AZ Dance Medicine Specialists - Become a #dancemedpro! Coaching Program Application
Name *
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Phone number *
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Mailing address *
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Email *
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Business website *
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Instagram username
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Facebook address/username
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Are you a business owner? If so, tell us a little about your business (year est, cash based/in-network/OON, inspiration for starting your practice). If not, type "NA" *
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What percentage of your patients are involved in dance (students, professionals, adult learners, instructors, etc) *
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Tell us about any previous training you've had in dance medicine. *
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What are your expectations for this program in terms of what you would like it to do for you and your practice? What is the ultimate goal you would like to accomplish by the time you finish this program? Be specific. *
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How did you find out about the #dancemedpro training program? *
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Who/what most influenced you to apply? *
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What is the #1 challenge you face in treating dancers and/or creating a strong dance medicine business? *
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How committed are you to fully participating in the program and becoming and awesome #dancemedpro? *
Why is being a #dancemedpro important to you? *
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