Caritas Coach Education Program® Application

BEFORE YOU BEGIN: Please read the Program Overview to understand the commitment level involved with this program.

Application Deadlines

Fall Class: September 30 each year
Spring Class: March 31 each year
Now accepting applications for November 2022.

A $25 non-refundable processing fee must be paid at the time of CCEP application.

CCEP Application

Please complete in English.

"*" indicates required fields

Program Overview Verification*

I have read and understand the Program Overview.

Primary Language*

Secondary or additional languages, if applicable.

First Name*

Middle Name

Last Name*

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Name (Hidden)

First Middle Last

Preferred Name

Pronunciation Notes

(Optional. List any inflections, emphases, etc...)

Pronouns

she/her/hers

he/him/his

they/them/theirs

Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home/Cell Phone*

Preferred Phone*

Home Email*

Enter Email Confirm Email

Preferred Email*

Enter Email Confirm Email

Credentials*

Education (List degrees/certificates completed)*

Use the plus symbol at the end of the field to create a new line.

Place of Employment*

Position/Title*

Work Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Work Phone

Work Email

Enter Email Confirm Email

Years in Health Care*

Years in Current Position*

Caring Science, Mindful Practice*

Have you completed the Caring Science, Mindful Practice online course?

Yes

Watson's Caring in the Digital World*

Have you completed the Watson's Caring in the Digital World online course?

Yes

Is your organization a WCSI Affiliate?*

View WCSI Affiliate List

Yes

Select Program*

November 2022

May 2023

UNITARY CARING SCIENCE KNOWLEDGE AND EXPERIENCE

Please answer each question thoughtfully and completely. Applicants are accepted into the program based on their knowledge and experience with caring science, vision and reason for applying to CCEP, written essay, ability to express oneself, and dedication to completion of the program.

1. Describe previous course and/or continuing education work in Unitary Caring Science.*

2. Describe experiences in working with/applying Unitary Caring Science in your professional life.*

3. Describe the nature and scope of your current self-care and spiritual practices that help you promote your well-being, balance, and caring-healing focus in your life.*

4. Describe why you want to be a Caritas Coach and if anyone in your organization recommended CCEP to you?*

5. The Caritas Coach Education Program is rigorous. Please pause and reflect on how you will be able to manage these requirements. Write a brief paragraph describing how you will be able to fit in the Program requirements into your life and schedule.*

6. Please reflect and describe how the CCEP faculty can help you succeed in the Program.*

NARRATIVE

Caritas Processes*

Select and identify by name and number one of the ten Caritas Processes and write a short narrative about how you have applied and integrated this process in your life and work.

Upload Resume / CV

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Additional Comments

NOTE: You will receive a copy of this application after submission. Please check your spam folder if you have not received it.

Phone

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