Apply to become an SpiritWorks professional

1. Basic info

Let's start with the basics: who you are and how we can contact you.

First name *
Last name *
Email *
Country code + Cell number (eg. +1 510 123 1234) *
Office number (optional)

2. Practice address

Zip code *
Country *
State *
City *
Main address line *
Secondary address line

3. License

If you are licensed we need to have your license verified.

I am licensed

I have malpractice insurance

4. Certification (optional)

Share all the hard work, great training, and certifications you've earned.

I am certified

5. Education

All we need is your highest level of education.

Institute *
Degree *
Year *
Field of Study *

6. Experience

How many years have you been providing professional counseling and/or coaching?

Years of experience *

Why do you want to provide professional services on SpiritWorks? We'd love to hear what motivates you!

Motivation *

All done!

Now please submit your application for review.

We'll get back to you in no time.

Thank you!

If you have difficulties with submitting your application, please contact us .