Screen Time Clinic® Digital Wellness Educator & Preferred Integrated Treatment Partner Application 2024
Thank you for your interest in joining our internationally recognized team of Screen Time Clinic certified Digital Wellness Educators and/or Referral Partner for Integrated Treatment. You will have access to our resources, courses, and flagship TechXpress Digital Detox programs all done-for-you to start referring, promoting or facilitating. Please complete this form to be considered joining the Screen Time Clinic® team PRIOR to your interview or your request for meeting may be cancelled.
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Email *
How did you hear about us!? Who may we thank for your referral?
Full Name *
Degrees Abbreviations (MBA, Med, BS Counseling, etc) *
What city and country do you live in? To be listed on the map if approved. *
What is your current job and credentials?  *
How many hours per week do you realistically intend to devote to building your digital wellness education speciality or potential volume of referring clients for collaboration?  *
Do you have children of your own?  Care to share anything about your parenting beliefs that relate to screens and keeping kids safe growing up?
Share with us a little insight about your work with children or youth groups?
Tell us why you think you would be a good advocate for heathy screen time habits.  How do you envision being a Digital Wellness Educator/Consultant/Coach or referral partner and building your local network? We will provide some jump-start business coaching and documents to help you get started, but what scope to you see yourself undertaking this position? For example, only offering 1-1 coaching services, focusing more on seminars, mentoring & activity offerings, support groups, screen free activities, referral for additional support only, etc. *
Please list your personal and other business social media accounts.  If they are private we may request to follow/friend to screen applicants for appropriate social media use, non-offensive posts/language/etc (even in private accounts since there is no such thing as truly private on the internet)! Honesty, transparency and a good reputation are paramount in this business and our company values.  *
What degrees/credentials/trainings have you accomplished particularly relating to teaching, childhood development, psychology, and/or wellness?   *
Any other questions about membership? There is no fee to become a referral partner however we are very selective about our certification partners and there is a $800 fee to complete the jump start certification course IF you do not have other formal trainings in digital media. Learn more about this in our interview if selected.
If you have a resume please email it to info@screentimeclinic.com we would love to see it!
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