3 Vital Questions ®

Certified Trainer Application

Applicant's Information

First Name *

Last Name *

Shipping Address *

Shipping Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Mobile Phone Number *

Country *

Time Zone *

Email Address *

Company Name *

Work Title *

How did you hear about the 3VQ Certification Training? If referred by someone, please write their full name. *

Experience

What is your field of work? *

What is your depth of experience with TED*® and the 3VQ frameworks? Check all that apply: *

Desired Outcomes

What attracted you to this certification? *

What are you hoping to gain by becoming a 3VQ Certified Trainer? *

In your wildest dreams, how would you like to share the 3VQ work with others? *

Of the following dates listed below, please rate them in order of preference with your 1st and 2nd choice.

Attendance for all days is mandatory.

August 2024

Preparation Session: Friday, August 9; 9:00-11:00 AM Pacific Time
Core Week: Monday, August 12 thru Friday, August 16; 8:00 AM-1:00 PM Pacific Time *

November 2024

Preparation Session: Friday, November 8; 9:00-11:00 AM Pacific Time
Core Week: Monday, November 11 thru Friday, November 15; 8:00 AM-1:00 PM Pacific Time

*

If you are not able to attend an offering in its entirety, please give a detailed reason why you need to miss time. You may be asked to postpone your Trainer Certification until a later date.

Internal Coach	External Coach
Trainer	HR
OD	Therapist/Counselor
Team Leader	Other Other

Receive the weekly essay	Read the book(s)
Taken a live workshop	Taken a previous webinar
Taken the eCourse	No previous experience, looking to learn more