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Cohort 13 Application

You're one step closer to becoming a Certified Conscious Parenting & Life Coach.

Please complete this application to be considered for Cohort 13. Our team will carefully review your responses and follow up with next steps.

⚠️ Important Note: At the end of the questions, you will be prompted to re-enter your name and email to officially record your submission.

Please do not skip this step — your application will not be received otherwise.

  Begin Your Application Below ↓  

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Personal Information

Please provide complete and accurate details below. This helps us stay connected and ensure we have everything we need to support your journey through the program.  

Question 2 of 22

Full Name

Question 3 of 22

Email Address

Question 4 of 22

Address (Please include Street Address, City, State Country and Zip code)

Question 5 of 22

Phone Number (Please include country area code ex. +1 123-456-7890)

Question 6 of 22

Select your preferred cohort language.

A

English

B

Spanish

Background

We want to get to know you—your values, your vision, and what inspires you to pursue this path as a Conscious Parenting & Life Coach.

Please keep your responses brief and focused wherever possible.

Question 8 of 22

1. What is your current profession or primary area of work? 

Question 9 of 22

2. What professional qualifications or trainings do you hold that support your path to becoming a Certified Conscious Parenting & Life Coach? 

 

Include any relevant certifications, degrees, advanced trainings, or specialized experience.  

Question 10 of 22

3. Have you completed the prerequisite course, Conscious Parenting 2.0?  

 

Completion of this course is required for enrollment. 

A

Yes

B

No

C

Currently working through the course but haven't finished

Question 11 of 22

4. Is there any additional background you’d like to share that supports your fit for this program?  

 

This could include life experiences, personal growth journeys, or anything else that reflects your alignment with conscious parenting and coaching.  

Question 12 of 22

5. Which of Dr. Shefali’s courses have you taken?  

(Select all that apply)
A

Conscious Parenting 2.0

B

The Awakened Heart

C

The Year of Manifestation

D

The Awakened Family

E

A Radical Awakening

F

Parent Reboot Workshop

G

Others

Question 13 of 22

6. What is your personal philosophy around parenting?  

 

Please share any life experiences, personal insights, or moments of transformation that have inspired you to pursue certification as a Conscious Parenting & Life Coach.  

Question 14 of 22

7. What is your vision for serving your community as a Certified Conscious Parenting & Life Coach?  

 

How do you see this work aligning with or expanding what you're already doing?  

Commitment

This is a transformative journey that requires dedication, inner work, and presence. 

Let’s explore your readiness to begin.  

Question 16 of 22

8. What is your #1 personal or professional goal for the next 6–12 months?  

 

Share the vision you’re most committed to bringing to life in the near future.  

Question 17 of 22

9. Why is NOW the right time for you to invest in yourself and this journey?

 

We’d love to understand what’s calling you to take this step at this moment in your life.  

Question 18 of 22

10. What do you feel has been holding you back up until now?  

 

This could be internal fears, external circumstances, or limiting beliefs. Feel free to be honest—this is a space for reflection.  

Question 19 of 22

11. Are you prepared to begin the program on time and commit to either a one-time payment or an installment plan?  

A

Yes

B

No

Question 20 of 22

12. Are you ready to invest in yourself and your future as a Certified Conscious Parenting & Life Coach—right now? 

A

Yes, I’m ready—physically, emotionally, and financially.

B

Not at this moment—I’m not ready to commit in one or more of those areas.

C

I’m unsure—I’m on the fence and still exploring what I want or need.

Question 21 of 22

Who referred you to Dr. Shefali’s Conscious Coaching Institute? 

 

If no one referred you directly, please share how you first heard about the program (e.g., social media, podcast, webinar, event, friend, etc.).  

Question 22 of 22

Final Acknowledgment:

 

By submitting this application, you confirm that the information provided is accurate to the best of your knowledge. You understand that enrollment in the program is contingent upon meeting the requirements, including completion of the prerequisite course (Conscious Parenting 2.0), and that all personal information shared will be kept confidential and used solely for program-related purposes.

 

Please type your initials below as your digital signature to indicate your agreement.

 

Confirm and Submit