HeartMath® Coherence Advantage Certification Program Application

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Welcome - Thank you for your interest in HeartMath® programs. Once we receive your application, a HeartMath representative will contact you to discuss program details and answer your questions.

Training

Coherence Advantage™ Certified Trainer 2024 Dates

All Times are Pacific Time

Interactive Zoom course spans a 7-week time period.

• Five "Live" classes. The first class is 2 hours, the remaining four classes are 90-minutes each.

• Two Full Training Days

• Final ½-Day Class

• Registration closes 2 weeks prior to start date

• Availability Subject to Change. Classes fill quickly.

Select a Class that best suits your schedule.

January 25, 2025 – March 9, 2025	February 13, 2025 – March 28, 2025
March 4, 2025 - April 16, 2025	March 24, 2025 - May 6, 2025

What type of training license are you applying for?

Independent TrainerOrganizational Internal TrainerIndependent (Marketing your own services/Charging fees for service) or Organizatonal (Organization pays for training/Delivering within organization/No independent fees for service)

Name

First Name

M.I.

Last Name

Suffix

Company Info

Company

Organization

Title

Department

Address & Contact Information

Address

City

State

Zip

Country

Email Address

Daytime Phone

Mobile Phone

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Write a short bio with emphasis on your experience as a trainer and explain why you want to become a HeartMath® Trainer (1,000 character limit)?.

Who in your organization supports your HeartMath training objectives? What is that person's title and role in the organization?

Upon completion of the certification training, please indicate how you would prefer your name to appear on your certificate.

Independent Trainer License Agreement

Agreement

Organization Trainer License Agreement

I have read and agree to the terms and conditions in the HeartMath Trainer License Agreement.

Yes

I give my permission to record the training days including my voice and picture. Recordings will be available only to members of your class and the training team and can be viewed only in the Learning Center. For privacy purposes, they are not downloadable or otherwise distributed.

YesNo

I give my permission to share my contact information with my certification class attendees solely for training communication purposes. I agree to not distribute the shared participant contact information with others outside of the class.

YesNo

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HeartMath® Coherence Advantage Certification Program Application

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