Headspace Mental Health Coach Training Program Enrollment Application - July 2024 Cohort                             
Thank you for your interest in our program. Please complete the following information. We look forward to receiving your application!  

See our privacy notice for how your personal information will be used as part of this process: https://www.ginger.com/gti-behavioral-health-privacy-notice.
Sign in to Google to save your progress. Learn more
We welcome you to join the Headspace Training Community!
Captionless Image
Email
Phone Number
What is your current occupation?
Please share about your interest in becoming a mental health coach.
Please share about your interest in the Headspace Mental Health Coach Training Program.

The weekly live, virtual classes are a core component of our program. Participants must be able to attend weekly Live  Education and Training Sessions (virtual class over Zoom) at ONE of the following days/times. 

Please indicate and rank which of the following sessions you would be able to commit to for the 6-month program. If you are not available for a specific day/time leave that row blank. Students attend the same cohort day for the entirety of the program (20 classes, 3 hours and 15 minutes each) except for any make-up classes. 

Note: Availability is limited and subject to change based on enrollment and staffing.
Choice #1
Choice #2
Choice #3
Choice #4
Choice #5
Choice #6
Choice #7
Mondays 9:00 am - 12:15 pm PT
Tuesdays 9:00 am - 12:15 pm PT
Tuesdays 4:00 pm - 7:15 pm PT
Wednesdays 12:00 - 3:00 pm PT
Fridays 9:00 am - 12:15 pm PT
Saturdays 9:00 am - 12:15 am PT
Sundays 7:00 am - 10:15 am PT
Clear selection
Is there anything else you would like to share about yourself and your interest in this program?
Do you have any questions about enrolling in the Headspace Mental Health Coach Training Program?
How did you hear about our program?

Please check all that apply.
If you answered "Other" to the above question, please share how you heard about our program.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Headspace. Report Abuse