Superhuman Coach Application Your eligibility for joining the Superhuman Coach Network is based on the details you provide below. Please allow at least 10 minutes to complete this form, and we will be in touch with you within 48 hours after you submit. Add "[email protected]" to your address book to ensure you receive any follow-up messages we send to you. Your Full Name*Your Email Address* Your Phone Number*Your Skype Address (if you have one)Your Mailing Address*Education*Please describe any university degrees or specialized education you have:Certifications*Describe any personal training or coaching certifications you currently have.Business Information*Do you currently have a coaching or training business? If so, please describe it, including the name and website URL of your business:Your Clientele*What type of clients do you work with, or have a desire to work with? (i.e. endurance athletes, strength athletes, weight loss population, etc.)Insurance*Do you carry general and/or professional liability insurance? If so, please describe your insurance carrier and coverage.Reason For Application*Why do you want to become a part of the Superhuman Coach Network?Referral*Where Did You Hear About The Superhuman Coach Network?Proof of Your Certification/DegreeAccepted file types: pdf, gif, pjg, png, jpg, zip, jpeg, doc, xls.You do not have to attach proof at this time, but if you have a scanned document that shows proof of your certification or degree, or your current enrollment in a certification or degree program, then please attach at this time. If you do not currently have proof available, please e-mail to "[email protected]" within 72 hours after completing this application. Additional NotesIf you have additional notes, clarifications or questions, please leave them here.PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.