TWG Application Form

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Application for EBI Professional Coach and Guide Training copy
Thank you for your interest in our program. This application is for both NCC and TWG applicants and will take you approximately 30 minutes to complete.
Name: (*)
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Date of Birth (*)
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Email Address: (*)
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Phone Number: (*)
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Address (Street, City, Zip): (*)
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Occupation: (*)
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How did you hear about our program? Who referred you?
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List other trainings, certifications, degree programs, etc, you have completed. (*)
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When do you hope to start the program? (*)
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What level of certification are you interested in?
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Earth-Based Institute issues two certifications: Nature-Connected Coach and Transformational Wilderness Guide. NCC certification is a prerequisite for the TWG program and can be done simultaneously. To obtain the TWG certification you need to complete the NCC program as well as the Wilderness Leadership and Experience program which involves two wilderness training courses.
How do you intend to use this training?
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Are you currently credentialed by the International Coach Federation? (*)
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If not, do you intend to become credentialed as a Professional Certified Coach (PCC)?
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Please provide us with the name and email address of three references. Please let your references know that we we will send them a confidential recommendation form. All three forms must be submitted to consider your application complete.
Reference #1 Name and Email
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Reference #2 Name and Email
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Reference #3 Name and Email
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This next section is to help us get an idea of your current wilderness experience. Wilderness experience and training is NOT required for acceptance to this program.
Naturalist Studies
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Hiking
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Camping
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Backpacking
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Winter Camping Skills
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Wilderness/Primitive Survival Skills
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Fire Making, Shelter Building, Tracking, Hunting, Stalking, Edible Plants
Wilderness Questing
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Wilderness Therapy
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Emergency First Aid
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Tell us about your wilderness experience
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Please describe any extended wilderness experience (more than three days), and/or previous outdoor skills training courses that you have had.
   
Why do you want to be trained as a Nature-Connected Coach and/or Transformational Wilderness Guide, and how do you plan on incorporating it into your personal/professional life?
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Please describe a time when you were profoundly affected by nature, and explain why/how it had such an impact on you.
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Have you worked with a coach before? If so, how did that inspire you to choose coaching as a professional path?
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Have you been guided through a transformative experience in nature before? If so, how did that inspire you to choose this work as a professional path?
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This program is rooted in a collaborative learning environment. You will be part of small cohort of individuals, all learning together. What gifts and strengths will you bring to your group?
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Program certification will require several hours of your time in addition to the monthly gatherings. Considering your personal and professional responsibilities, how do you feel about taking on more? Describe how it is realistic for you at this time.
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Do you have any significant health issues or disabilities that would prevent you from camping and hiking several hours from a hospital?
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What questions or comments do you have at this time and what is the best way to reach you to discuss them with you (email, phone?)?
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Introduce the code (*)
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