CUCT 2023 July with fee Application

Conscious Uncoupling Certified Coach Training Application 2023

Yes! I’m interested in learning more about the 9-month Conscious Uncoupling Certified Coach Training and expanding my career and my earning potential.

I understand that providing my personal information below and completing the following application indicates my interest in being interviewed for this powerful training and is not an indication that I will be accepted into the training.

A $75 non-refundable fee is required with your application to indicate your commitment to the training. If your application is not accepted, this fee will be returned.

----PLEASE NOTE: To minimize chance of lost work, we suggest composing your application answers in a separate document, then copying them into this application.

1. Contact Information

First Name *
Last Name *

Email *

Best Phone

Street Address 1 *
Street Address 2
City *
State *
ZIP/Postal Code *
Country *

2. Personal Information

Where did you hear about the Conscious Uncoupling Coach Training program? *

What is your current occupation and your professional background? If you have a particular specialty, please share it with us. *

If you have a website, please give us your URL, so we can learn more about you. *

Where have you enjoyed your greatest professional success in life? *

What qualities did you bring to your successful endeavors and how could you apply them to creating a successful Conscious Uncoupling coaching practice? *

Have you ever worked in a professional capacity as a therapist, counselor, coach, minister, etc.? If so, when, where and what credential, if any, do you currently hold? *

Have you participated in any of Katherine Woodward Thomas’s other courses or trainings and/or worked with her privately? If so, when and which one(s)? *

Please tell us about your desire to become a certified Conscious Uncoupling Coach and include why you believe you would make a good relationship coach. *

What has brought you the deepest sense of fulfillment and meaning in your life, and how might being a certified Conscious Uncoupling Coach expand your sense of fulfillment and meaning? *

List the 3 top reasons that you would like to become a Conscious Uncoupling Coach. *

On a scale of 1 - 5 (5 is highest), rate the following statements:

I feel CALLED to make a difference in the world: *

I have a desire to HELP others: *

I have a desire for greater SUCCESS: *

I INVEST myself in my own personal development: *

I ENJOY being supported by others who are committed to my success: *

I am willing to APPLY MYSELF to be excellent: *

Are you ready and able to put in the time required for the training program? This includes weekly coursework for 9 months (about 3-10 hours per week, depending on which part of the program we’re in), weekly live calls and two 2-day digital retreats in September 2023 with Katherine. If your application is accepted, you will be able to review a training schedule before joining the program. *

YesNo

Do you have the financial resources available to make the investment for this training ($9995 Tuition, payment plans are available)? *

YesNo

Why do you believe you should be considered as one of the people that will be chosen for this exclusive certified coach training program? *

Thank you for completing your application for the Conscious Uncoupling

Certified Coach Training. We are so excited about what's possible for you, your career, and your life!

Once your application is received, a member of our team will be in touch with you shortly to schedule your personal interview to see whether this training is your right next step professionally.

We’re scheduling interviews in the order that completed applications are received. Thank you for understanding.

Please click the button below to submit your application and continue on to pay the $75 application fee.*

*If your application is not accepted, this fee will be returned.

Please click the button below to submit your application.