Name
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First Name
Last Name
Email
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Phone
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Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Who are you as a person, as a member of your community and as a parent:
Tell us more: what are your strengths, your weaknesses, and anything else that you think we should know:
Have you personally been through a high conflict custody battle and if so, can you tell us more about your journey? Do you feel that you are at a place in your own healing that you can safely hold space for others:
If we asked your closest friends and family members to describe you, what would they say:
If someone were to meet you for the first time, how do you think they would describe you:
On a scale of 1 to 10, how would you rate your knowledge and understanding of narcissistic abuse? How would you rate your knowledge of post-separation abuse?
On a scale of 1 to 10, how would you rate your knowledge and understanding of your local family court system:
At the HCDCCP, we are vocal advocates against the "parental alienation" or "alienation" movement and terminology. Coaches who choose to work in the alienation industry will not be eligible for referrals from us upon graduation. Does this pose a problem for you?
If you are applying for the scholarship space (we have one space for each session), tell us why you should be chosen:
Financial Needs
Scholarships are reserved for those in dire financial circumstances. We select recipients who would have no financial means to afford the program through loans, credit, etc. Can you tell us about your current financial position (proof may be requested):
Is there anything else we should know about you?
Are you optimistic or pessimistic by nature? Do you consider yourself to be resilient? Tell us more:
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