Therapeutic Coaching Application Form
To apply for the Therapeutic Coaching practitioner training program, please complete the below. Before doing so, please ensure you have:
1. Read our prospectus - you can download here:
2. Watched our 1-hour webinar at
This is a professional level training and it is important we have enough information to decide whether we feel you are a fit for the training. Therefore, provide thorough answers to the below questions.
If you have questions before completing, please email
Name you wished to be called if different:
Mobile telephone number:
Other telephone number:
Date of birth:
How did you hear about the training?
Word of mouth
Optimum Health Clinic
Fatigue Super Conference
Alex Howard mailing list
Have you read the course prospectus?
Which course are you applying for?
Level's 1 & 2 combined (best pricing)
What are you primarily looking for?
To become a practitioner
What do you hope to get from the course?
What do you feel your strengths are with regard to the course?
What do you feel could be your biggest challenges with the course?
What are the areas you think you most need to develop?
What relevant previous experiences/qualifications do you have?
Do you have any history of mental illness (if so, please provide details)?
When are you hoping to start the training?
Do you have any questions?
Anything else you feel we should know?
Once submitted, we will contact you in the coming few days to discuss your application further.
Send me a copy of my responses.
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