Application for the

Trauma Informed Consulting & Coaching Certificate Program - 2024

with Thomas Hübl, Amy Elizabeth Fox, and Special Guest Faculty

Please complete and submit the application form below to tell us a bit about your background and interests. It should take about 20 minutes to complete the application. Short answers of 1-2 paragraphs are preferred.

Please answer all required questions and submit the entire form.

Personal Information

Max. file size: 50 MB.
Please provide a “headshot” photo of you alone, in which you are looking straight into the camera. You must submit a photo as part of your application. If you have trouble with uploading the image, then you will be asked to email it in order to complete your application.

Professional Experience & Training

Personal Background