Health Coach University Scholarship Application

Hello, and thank you for your time in filling out this form! We appreciate your answers and the interest you’ve taken in the Health Coach University. This is a very time intensive program so make sure to only apply if you have the available time.

HCU Application

Course material submission

Date
MM slash DD slash YYYY

(MM/DD/YYYY)
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Special Circumstances for Scholarship Consideration
What financial need do you have for a scholarship?*
What contributions have you made in your field?*
Anything you'd like to share.
Max. file size: 512 MB.
How much time do you have to spend per week on your education and implementation?*

(This program averages a required amount of 20 hours a week. If you cannot set aside 20 hours per week, you will want to wait to apply until you are able to)
Are you currently a health coach?*
- Yes
- No
Educational Background*
Work Experience*
Why do you want to be a health coach?*
What are your long term career goals?*
What are you really good at?*
What are you really bad at?*
What will you do once you are a health coach?*
Time Zone*
Agreement*
- In return for acceptance into the Free Program by Health Coach University, Health Coach Certification program, I agree to offer thorough, honest and constructive feedback on all aspects of the course. I also promise to: 1. participate in 90% of group participation 2. 90% of weekly 1 hour small group meetings 3. Facilitate 25% of my weekly group meetings 4. Complete the final assessment for testing purposes.

Health Coach University Scholarship Application

HCU Application

Special Circumstances for Scholarship Consideration