Creative Grief Support Certification Application Form Creative Grief Coaching Certification Application Form Fill out the form below to apply to join our Creative Grief Support Certification class. Filling out this application is not a registration to join this class; it's an application telling us of your interest. After our review, if you are accepted into the class, then you'll 1) receive an acceptance letter with link to make your commitment by paying a non-refundable deposit, 2) select either the one-payment or three-payment plan for the balance of your registration, and 3) we'll send you registration and agreement prior to the start of your session. If you would like to speak with Kara or Cath to discuss whether this course is a good fit for you, please email us at cath (at) griefcoachingcertification (dot) com or kara (at) griefcoachingcertification (dot) com. Name* First Last Your e-mail address*Please note that email addresses from yahoo.com, aol.com and hotmail.com often are problematic, so if you want to ensure that you receive our response, please provide an alternative email address and/ or the url for your Facebook profile.Your website URL (if you have one) Your phone number*Your city & country of residenceYour year of birthWhich class are you applying for?* September to December 2017 March to June 2018 Please tell us what personal experiences you've had with loss and grief in your own life.*What training have you had for covering the basics of being a helping professional? (listening skills, interviewing skills, rapport-building, professional boundaries)*What experience do you have with working as a helping professional? (You may include both volunteer and paid experience. And please include any experience working with the bereaved or in any other arena.))*Why do you want to take this Certification in Creative Grief Support?*What is your vision for how you'll use this certification in your life and work?*Would you like to pursue certification, or are you only interested in learning the content of the course? Please provide reasons for your choice.*How did you find out about this program? If someone referred you, please provide their name and email address so we can thank them personally.*At the Creative Grief Studio we know you'll be working with vulnerable clients as a grief coach, and we take integrity and ethical practice very seriously. We do our best to accept only high integrity participants into this course so that all coaches associated with our brand can both contribute to and enjoy the benefits of a brand that is well-known as highly ethical. By submitting this application, you agree to the following and please tick to indicate your understanding of the following:* I confirm that everything I've written in this application is a true reflection of me and my experience and training. I have not provided any false information. I understand that the Creative Grief Studio will run a Google search for my name to find out what information is publicly available about me on the internet, in order to confirm that I am a good fit for the course and I have a high integrity public image.