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Transformation Certification Application
Full Name (required)
Email (required)
Role / Industry
Why choose the 14-week virtual training? (You can select multiple) Schedule flexibilityPrefer structured pacingCostIntegration into work schedule
Other reason (please specify)
Do you plan to also attend the retreat version? YesNoConsidering
Readiness for emotional depth HighModerateUnsure
Readiness for facilitation practice HighModerateUnsure
Personal: I want this training to help me...
Professional: I want to become more able to...
Financial: This would be worthwhile if it helped me...
Where do you feel least confident designing transformation?
Describe a moment where an experience did not lead to real transformation
Are you willing to complete all certification requirements? (required) YesUnsure
What will support you in completing the full program?
I agree to be contacted about this application
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Why are you choosing the 14-week virtual training (vs retreat)?
Schedule flexibilityPrefer structured pacingCostIntegration into work scheduleOther If other, please specify
Do you plan to also attend the retreat version?
YesNoConsidering
Readiness for emotional depth
HighModerateUnsure
Readiness for facilitation practice
Personal Return on Investment: I want this training to help me...
Professional Return on Investment: I want to become more able to...
Financial Return on Investment: This would be worthwhile if it helped me...
Where do you feel least prepared supporting integration?
Describe a moment where a client needed integration support you could not provide
Are you willing to complete all certification requirements (facilitation recording, design plan, assignments)?
YesUnsure
Full Name
Email
Business / Organization
Website / Social Media
Current Role (check all that apply) Retreat LeaderCoachTravel DesignerWellness PractitionerFacilitatorOperatorOther
Why are you interested in the retreat format? I learn best through immersive, in-person experiencesI want hands-on facilitation practiceI want accelerated learningI want deep personal transformation alongside professional trainingI plan to complete both retreat and virtual trainingOther
Describe what you believe an immersive retreat can offer that a virtual training cannot.
Are you planning to also complete the 14-week virtual certification? YesNoUnsure
How prepared are you for this level of engagement? Very preparedPrepared but aware it will be challengingUnsure
What could interfere with your full participation? WorkFamilyHealthTravel fatigueNoneOther
How do you typically respond to high-growth or challenging environments?
Why are you pursuing this certification at this stage of your career?
Select your primary goals Improve client outcomesDesign transformational experiencesAdd integration servicesIncrease retention and referralsBuild a premium offerExpand into B2B partnershipsOther
Personal ROI: I want this experience to help me...
Professional ROI: I want to become more able to...
Financial ROI: This would be worthwhile if it helped me...
Describe your current work and services.
Where do you feel least confident?
Describe a moment when a client needed more support.
Are you willing to complete the full certification process? YesUnsure
What will support you in completing the full certification process?
Why are you a strong fit for this retreat?
Anything else we should know?
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