Duke Health & Well-Being

Application for the DHWCT

Thank you for your interest in the Duke Health & Well-Being Coach Training (DHWCT)! Space is limited, so please complete and submit this application at your earliest convenience. You will need to have an electronic copy of your resume or curriculum vitae available for upload.

Applicants will be notified of their acceptance status no later than two weeks after submission of their application. Seats in the program are filled on a first come, first served basis. We suggest submitting an application well in advance, in order to leave plenty of time to have your application reviewed and not miss any discount deadlines or course start dates.

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If you have any problems signing into the system or submitting your application, please contact dukesupport@learning.net.

Username/Email:

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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.)

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First Name:

M. I.:

Last Name:

Phone Number:

Alternate Phone Number:

Street Address:

City:

State/Province:

* State/Province:

Zip Code:

Country:

Date of Birth:

Gender (Not Required):

Primary Occupation/Field:

Other:

Applicants to the DHWCT must hold a minimum of a bachelor's degree in any field of study. Exceptions may be made for those with 3-5 years of professional experience in a medical or allied health field.

Do you hold a minimum of a bachelor's degree?

Yes, I hold a minimum of a bachelor's degree
No, I do not hold a minimum of a bachelor's degree

Degree/Licensure:

Academic Record: Please list all current and prior post-secondary schools attended.

Name of College/University Attended	From-To (MM/YY - MM/YY)	Degree, License, or Certification Achieved	Major/Focus of Study

Please describe your qualifications, your interest in this program, and how this training will assist you with your future professional plans. (4000 character limit):

Please describe what aspect of health coaching you are most interested in. Describe what specific skill development you hope to learn from your participation. (2000 character limit):

What is your funding source for this training?

Self
Employer
Other (please explain)

Please attach a current resume or curriculum vitae:

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 username/email will be the way in which you are notified about your application decision and receive communications about this program.