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 feedback@spiritworks.r2q.guideposts.org .