Parent & Co-Parent Coach Network Application

Parent & Co-Parent Coaching Network Application

Full Name

First Name

Middle Name

Last Name

Age

Gender

Address

Address Line 1	Address Line 2
City	Country
State	Provinces
State/Province	Postal Code
Email	Phone

Website

Instagram

Facebook

Coaching Certification

Are you currently a Certified Coach?

YesNoCurrently in a certification program

What type of Coaching certification are you certified for?

From which school or program did your obtain your certification?

When did you obtain your certification?

Please upload a copy of your certification

Enjoyable work

Thank you for your interest in joining the Equal Shared Parenting Benefits Program Parent / Co-Parent Coaching Network!

We ask you these questions to understand your education, experience, philosophy, strengths and passion so we can convey them to the members of the Equal Shared Parenting Benefits Program.

1. What made you decide to become a Parent / Co-Parent Coach?

2. What is your philosophy on parenting?

3. What is your philosophy on co-parenting?

5. What is your current billing structure and do you intend on providing a discount to members of the Equal Shared Parenting Benefits Program? If so, what percentage discount?

Personal Interests

6. Outside of your professional life, what or who do you find inspiring, and why?

7. If you had $10,000 to donate to any organization(s) how would you donate it?

8. Is there anything else you'd like us to know about you?

Your Rights Under GDPR