Apply to be a Coach Name * First Name Last Name Email * Phone (###) ### #### Subject * What are your license type(s) * Clinical Social Worker (LCSW, LICSW, LISW, etc.) Marriage & Family Therapist (LMFT, LCMFT, LIMFT, etc.) Mental Health Counselor (LMHC, LCMHC, LMHP, LPMHC, etc.) Professional Counselor (LPC, LPCC, LCPC, etc.) Psychologist Other I am not a licensed therapist In which state(s) are you licensed? * Enter your license number(s) * What are your coaching credentials? * ACC PCC MCC NBC-HWC BCC CMHC Other I do not have any coaching credentials. In 1-3 sentences, please share the experience that you have as a mental health coach. * As a coach, which subject areas are your greatest specialties? * Anger Management Burnout Career & Workplace Challenges Confidence Decision Making Insecurity Loneliness Marriage Issues Mindset Physical Health Challenges Racism & Discrimination Relationship Conflict Resilience Self-care Sexual Health Sexual Orientation & Gender Identity Sleep Issues Stress Work-life Balance Which of the following superpowers sounds most like you? * Incredible Listener Amazing Motivator Wealth of Wisdom Calm, Cool, and Collected A+ Accountability Biggest Fan & Champion Why are you interested in becoming a Wingman coach? * Thank you for your interest in becoming a Wingman coach! We will be in touch as soon as possible.
