WOW Self Care School Licensee Training

Rise Up

This is the application form for training as a licensee with the WOW Self Care School and Programs. Please complete all fields.

After you hit "Submit" you should receive the message, "Thank you for submitting your application!"

Please allow up to two weeks for the initial review of your application. Completing the form below will add you to our mailing list, through which you will receive occasional WOW Self Care School updates and information regarding the training you apply for and other training opportunities.

Which training are you applying for? Please list the name of the cohort you prefer and its start date. IMPORTANT: Please make sure the schedule for the calls works for you. You can find this information on the home page of the WOW Self care School website. We make every effort to get you into the cohort you prefer but if it is full we will contact you about moving to another cohort in the same time zone block.

First Name

Last Name

Street Address

City

State or Province

Country

Postal Code

Phone-Mobile

Age

Gender

Primary Language

English fluency

Organization

Your title or role or profession

Organization website

Time Zone

Inspiration: What inspired you to apply for this training?

Career Path: Briefly describe your career or educational path so far. Please include degrees, professional licenses and certifications.

Related experience: Do you have any prior experience with the practice of Self Care Education?

Personal goals: What are your personal goals for undertaking this training?

Professional goals: What are your professional goals for undertaking this training?

Early Self Care memory: What is an early memory of time you spent deliberately and with intention caring for yourself?

Significant Self Care moment: Tell about a Self Care moment that you have known that has been significant to you in some way.

Self-development: What practices or strategies do you use for self-development and to maintain mental/emotional/spiritual wellness?

Leadership experience: What prior experience or training do you have related to teaching, guiding, and/or facilitating?

Self Care training: What is your experience and knowledge in self care and wellbeing training, such as the social determinants of health.

Leadership Role: Give an example of a leadership role you have held and say something about your leadership style

Anticipated Challenges: What do you anticipate will be most challenging about this course?

Other info: What else would you like us to know about you?

How did you hear about WOW Self Care School?

WOW Self Care School Licensee Training

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