Health Coaches of Chicago
Welcome!
Thank you for your interest in Health Coaches of Chicago (HCC). Please fill out the form below to sign-up as a member.
Please note: Membership dues will also be collected to become an official HCC member.
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1
. Are you a graduate of the Institute for Integrative Nutrition (IIN)?
Are you a graduate of the Institute for Integrative Nutrition (IIN)?
Yes
No, I'm a current IIN student
No, I've never attended IIN
If you answered yes, please specify graduation year
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2
. Contact Information
Contact Information
First and Last Name
Email Address
Phone Number
Mailing Address
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3
. Are you currently working as a health coach?
Are you currently working as a health coach?
Yes, Part Time (1-25 hours/week)
Yes, Full Time (25-40+ hours/week)
No, I'm not an active health coach
Other (Please specify if you are working in another area of nutrition/wellness other than health coaching)
4
. Other than what has already been communicated, how can this organization support your health coaching career?
Please note: We will have an open suggestion box throughout the year. Please send future suggestions to info@healthcoachesofchicago.com
Other than what has already been communicated, how can this organization support your health coaching career? Please note: We will have an open suggestion box throughout the year. Please send future suggestions to info@healthcoachesofchicago.com
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5
. What level of participation are you able to provide to the Health Coaches of Chicago (HCC)?
What level of participation are you able to provide to the Health Coaches of Chicago (HCC)?
Bi-Weekly
Weekly
Monthly
Quarterly
Annually
6
. Due to our wide-spread outreach throughout greater Chicago, do you have suggestions for places to host meetings/workshops/events (preferably inexpensive/free and with easy access to public transportation)?
Due to our wide-spread outreach throughout greater Chicago, do you have suggestions for places to host meetings/workshops/events (preferably inexpensive/free and with easy access to public transportation)?
Location 1:
Location 2:
Location 3:
7
. Do you know of any other IIN students/graduates (in greater Chicago) who would be interested in becoming a member of HCC? Please provide their contact information below.
Do you know of any other IIN students/graduates (in greater Chicago) who would be interested in becoming a member of HCC? Please provide their contact information below.
Name(s)
Email Address(es)
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8
. What areas of experience or expertise can you contribute to the organization (Check all that apply)?
What areas of experience or expertise can you contribute to the organization (Check all that apply)?
Accounting
Branding
Business Management
Community Outreach
Developing/Conducting Workshops
Entrepreneurship
Event Planning
Fundraising
Marketing
Public Relations
Web Site Development
Other (please specify)
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9
. Are you specialized or trained in a specific field or topic? (check all that apply)
Are you specialized or trained in a specific field or topic? (check all that apply)
Acupuncture
Autism
Ayurveda
Cancer
Candida
Child Obesity
Chiropractic Care
Diabetes
Food Allergies
Gardening
Gluten Intolerance
Healthy Cooking
IBS
Infertility
Macrobiotics
Massage
Personal Training
Pregnancy/Early Childhood
Raw Food
Reki
Skincare
Social Work/Therapy
Vegan
Vegetarian
Weight Loss
Yoga
Other (please specify)
10
. Please provide any additional comments/suggestions for HCC, including event/workshop suggestions (e.g., cooking classes, business development, guest speakers).
Please provide any additional comments/suggestions for HCC, including event/workshop suggestions (e.g., cooking classes, business development, guest speakers).
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