Duke Health & Well-Being

Application for the Hinge Health Advancing Diversity in Health and Well-Being Coaching Award

This award has been provided to help advance diversity in the health and well-being coaching field. For example, this goal could be achieved by expanding the reach of health coaching to communities that typically don't have access to health and well-being coaching or by training historically underrepresented populations as health coaches.

Preference will be given to applicants who, through their application materials, demonstrate a commitment to dismantling barriers to the profession that have made it inaccessible to historically underrepresented racial and ethnic communities.

To apply for financial assistance from this program, please fill out the application form in its entirety and upload all supporting documents.

Already a registered user? Click here to Log In and apply!
Email:
	You must enter a valid email address as username to access this system.
Confirm Username/Email:
Password:	(Passwords need to be at least 8 characters and include at least three of the following: upper case letters, lower case letters, numbers and symbols.)
Confirm Password:
Name and Contact Information
First Name:
M. I.:
Last Name:
Phone Number:
Alternate Phone Number:
Street Address:
City:
State/Province:
* State/Province:
Zip Code:
Country:
Financial Need
Please describe your financial need and how this financial aid will help you. Include specific financial needs to support you in completing this program (e.g. full tuition, partial tuition, NBHWC exam and/or application fees, etc.)
Scheduling
Which DHWCT cohort would you like to apply to? You may visit the website for upcoming dates.

Supporting documents Please ensure you upload all three documents and address every question in each. Files must not exceed 250 MB.
Resume/CV:
Personal statement about health and well-being coaching to include: Please describe your qualifications, interest in this program, and how this training will assist you with your future professional plans. Please describe what aspect of health and well-being coaching you are most interested in. Describe what specific skill development you hope to learn from your participation.
Personal statement specific to advancing diversity in the health coaching field to include: What does it mean for you to have a commitment to diversity? How have you demonstrated that commitment, and how would you see yourself demonstrating it after DHWCT? What specific community or communities do you hope to work with after completing the DHWCT? How will you go about reaching these communities? What are some concerns/obstacles you have about providing health coaching to diverse populations or communities, and what is your plan to address them? How has your education, background or previous experience prepared you for working with a diverse population?
Gender Identity:	Which of the following most accurately describes you? (select all that apply) Woman Man Transgender Non-binary Additional gender category (or other); please specify* Decline to answer
Sexual Orientation	Which of the following most accurately describes you? (select all that apply) Straight or heterosexual Lesbian Gay Bisexual Queer Something else; please specify* Decline to answer
Race/Ethnicity	Which category best describes you? (select all that apply) White (Eg: German, Irish, English, Italian, Polish, French, etc) Hispanic, Latino or Spanish origin (Eg: Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, etc) Black or African American (Eg: African American, Jamaican, Haitian, Nigerian, Ethiopian, Somalian, etc) Asian (Eg: Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc) American Indian or Alaska Native(Eg: Navajo nation, Blackfeet tribe, Mayan, Aztec, Native Village or Barrow Inupiat Traditional Government, Nome Eskimo Community, etc) Middle Eastern or North African (Eg: Lebanese, Iranian, Egyptian, Syrian, Moroccan, Algerian, etc) Native Hawaiian or Other Pacific Islander (Eg: Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, etc) Some other race, ethnicity or origin Decline to answer
Veteran Status	Active Reserve Retired Veteran (not retired) Not a Veteran
Citizenship Status	U.S Citizen Green Card holder Non-U.S. Citizen
If selected, I understand that I must attend the entire course, including the live group sessions held weekly for three hours over the first 17 weeks, the eLearning courses, pre- and post-work, mentoring sessions, and written/oral exams. I expect to commit about 2 hours per week on these assignments, in addition to the 3-hour live webinar sessions. I also understand that in order to complete the course I may only miss two of the live, weekly webinar sessions. If selected, I agree to sit for the National Board credentialing exam after completing this course. If selected, I agree to release my information for the purposes of follow up, marketing, and communication with/from the donor or program staff.
By clicking the Submit Application button below you attest that all of the information you have provided is complete and factually correct. If it is not, Duke Health & Well-Being reserves the right to rescind your application or void your enrollment. Your email will be the way in which you are notified about your application decision and receive communications about this program.

Application for the Hinge Health Advancing Diversity in Health and Well-Being Coaching Award

Name and Contact Information

Financial Need

Scheduling

Supporting documents