If you have been invited by a Senior Partner or member of The Wellness Universe to join us, please fill this out.

For full membership details, please reference:

IMPORTANT: Upon submission, you will see the below confirmation screen.

If you DO NOT see this Thank You screen upon clicking the submit application button, scroll up and review your application. All areas that require your attention will be highlighted in RED.

PLEASE SCROLL TO BOTTOM OF PAGE AND READ EVERYTHING THOROUGHLY PRIOR TO FILLING OUT APPLICATION

WU World-Changer Application

IMPORTANT NOTE: Upon approval, you will have the opportunity to fill-in your profile. Your profile IS NOT PUBLIC and you cannot engage until you purchase your annual membership.

APPLICATION PROCESS: Fill out the application below. Your application will be reviewed by a senior member of The Wellness Universe, and you will be emailed next steps with how to enroll in membership.

Plan on at least 10 minutes to fill out the basic application.
If you qualify for Premier Membership, an extended application will open. Please plan an additional 15 minutes to fill it out thoroughly.
Apply as an individual. DO NOT apply as a business.
The application form generates your profile. SOME ITEMS CANNOT BE CHANGED (Like your name). Please be accurate and mindful.
Capitalize, check spelling and include title or name you are known by. Ex.: Dr. Lina (first name) Smith, MD (last name).
All links must include https://
You will receive an email from [email protected] upon approval with next steps.

Watch The Wellness Universe Membership Introduction meeting to learn about membership.

WU World-Changer Application (2023)

Date*
MM slash DD slash YYYY
Email*
Enter Email Confirm Email

Please be sure your email is accurate. Double check it is typo free and one you check often. Please add [email protected] to your email safe list to receive your approval email.
Name*
First Last
IMPORTANT: This form will generate your profile. Enter your FIRST and LAST name as you want it to appear on your profile. Your name and handle that appears publicly on The Wellness Universe STARTS HERE. Double check all fields before you submit. Thank you!
Phone*
Address*
Street address, P.O. box, c/o. Apartment, suite, unit, building, floor, etc. City State/Province ZIP/Postal Code Country
Business Name*
Professional Title*
I am a (select all that apply)
- Certified Coach
- Consultant
- Trainer
- Other
Other (fill in the blank)
Briefly Describe What You Do*
Please share your education history
Years of Experience in Your Field*
Congratulations! Since you have more than 2 years of experience, you qualify for a Premier Membership!
Date you started working in your field*
How Long Have You Operated Your Business in Your Field*
Date your started your business*
I have a certification in... (List type of certification and from which organization. If none input 'none')*
I have a certification in... (List type of certification and from which organization. If none input 'none')*
I have a certification in... (List type of certification and from which organization. If none input 'none')*
I Enjoy My Work As a*
Check all that apply.
- Certified Coach - Individuals
- Certified Coach - Groups
- Certified Coach - Organizations
- Coach - Individuals
- Coach - Groups
- Coach - Organizations
- Book Author
- Blogger
- Video Content Creator
- Podcast Host
- Podcast Guest
- Public Speaker
- Panel Participant
- Panel Moderator
- Workshop Facilitator
- Online Course Provider
- Online Services Provider
- In Person Services Provider
- Virtual Events Creator
- Virtual Events Presenter
- In Person Events Creator
- In Person Events Participant
- Corporate Wellness Specialist
- Participant in Collaborative Projects
- Certification Specialist
- Teacher
- Mentor
- Volunteer
You Are Interested In*
You currently do not offer, but are interested or plan to offer, check all that apply.
- Receiving Certifications
- Giving Certifications (Your own methodology)
- Coach - Individuals
- Coach - Groups
- Coach - Organizations
- Book Author
- Blogger
- Video Content Creator
- Podcast Host
- Podcast Guest
- Public Speaker
- Panel Participant
- Panel Moderator
- Workshop Facilitator
- Online Course Provider
- Online Services Provider
- In Person Services Provider
- Virtual Events Creator
- Virtual Events Presenter
- In Person Events Creator
- In Person Events Participant
- Corporate Wellness Specialist
- Participant in Collaborative Projects
- Certification Specialist
- Teacher
- Mentor
- Volunteer
Please submit the following:
Video URL*

Where can we see a video or interview of you?
Link to testimonials, recommendations, or reviews*

Where can we see client reviews of you or your business?
Business Facebook URL (or equivalent social media link)*
Business LinkedIn URL (or equivalent business social media link)*
Your Website URL*
Blog URL
What types of courses, programs, or offers do you plan to share through The Wellness Universe?*
Hidden
Premier Fields
How many clients are you currently working with?*
Who are/were your clients? Please name the industry and number of people you worked with. Let us know if you currently work with them, and for how long. You need not reveal your client(s) by name.*
Do you have experience with corporations, groups, or organizations as former or current clients?*
- Yes
- No
Do you have experience with working with teams?*
- Yes
- No
What are your areas of expertise for individuals or organizations?*
- MENTAL HEALTH: Wellbeing practitioners are needed to provide resources and support for mental health issues, such as anxiety and depression.
- STRESS MANAGEMENT: Practitioners can offer stress management techniques and resources to help employees cope with work-related stress.
- PHYSICAL FITNESS: Practitioners can design and implement fitness programs, offer classes, and provide coaching to help employees improve their physical fitness.
- NUTRITION: Practitioners can offer guidance and education on healthy eating habits and provide resources for healthy food options in the workplace.
- SLEEP: Practitioners can provide education and resources on how to improve sleep habits and address sleep-related issues.
- ERGONOMICS: Practitioners can help design workspaces and equipment to minimize the risk of injuries and strains.
- FINANCIAL WELLNESS: Practitioners can offer resources and support to help employees manage their finances and plan for retirement.
- HEALTH SCREENINGS: Practitioners can offer health screenings such as blood pressure checks, cholesterol screenings, and cancer screenings to detect health issues early.
- SMOKING CESSATION: Practitioners can offer resources and support to help employees quit smoking.
- CHRONIC DISEASE MANAGEMENT: Practitioners can offer resources and support to help employees manage chronic diseases such as diabetes and hypertension.
- HEALTH EDUCATION: Practitioners can provide education and resources on health-related topics such as healthy eating, exercise, and stress management.
- EMPLOYEE ASSISTANCE PROGRAMS (EAP'S): Practitioners can provide confidential counseling and support for personal and work-related issues through EAPs.
- WORKPLACE SAFETY: Practitioners can help ensure that workplaces are safe and free from hazards.
- DISEASE PREVENTION: Practitioners can offer resources and support for disease prevention measures such as vaccination and hand hygiene.
- LIFE-WORK BALANCE: Practitioners can provide resources and support for achieving a healthy work-life balance.
- HEALTH COACHING: Practitioners can offer one-on-one coaching and support to help employees set and achieve health-related goals.
- FITNESS CHALLENGES: Practitioners can organize fitness challenges and competitions to encourage employees to be more active and improve their physical fitness.
- SOCIAL SUPPORT: Practitioners can create opportunities for social interaction and support among employees.
- PHYSICAL ENVIRONMENT: Practitioners can help ensure that the physical environment is clean, safe, and conducive to productivity.
- LIFE & CAREER TRANSISTIONS: Practitioners can assist individuals who are experiencing uncertainty in navigating change to work through the inner process of transition in order to successfully create their next chapter.
- CREATING POSITIVE CHANGE: Practitioners can assist individuals and teams in navigating through the fear of the unknown to embrace the potential that comes with change.
- EQUITY DIVERSITY INCLUSION BELONGING (EDIB): Practitioners can support an organization to create an environment that supports all people to have equal rights, treatment, be welcomed and included, so that they do not experience any disadvantage because of belonging to a particular group.
- PSYCHOLOGICAL SAFETY: Practitioners can support an organization where people feel safe to speak up, take risks, and make mistakes without fear of negative consequences.
- GRIEF SUPPORT
- RESILIENCE/BURN OUT
- WEIGHT MANAGEMENT
- CAREER MANAGEMENT
- ADDICTION
- OTHER: Please describe
Please describe other areas of expertise, if applicable*
Areas for supporting leadership and building culture*
- RESILIENCE: In times of uncertainty and change, leaders need to be resilient and adaptable to effectively lead their teams.
- SELF-CARE: Leaders need to prioritize self-care to prevent burnout and ensure they are able to perform at their best.
- EMOTIONAL INTELLIGENCE: Emotional intelligence is key to building strong relationships with team members, navigating conflicts, and creating a positive work environment.
- COMMUNICATION SKILLS: Effective communication is essential for leaders to inspire and motivate their teams, set clear expectations, and provide constructive feedback.
- AGILE LEADERSHIP: In the current work environment, leaders need to be flexible and adaptable to changing circumstances, including remote work, shifting priorities, and unexpected challenges.
- LIFE-WORK BALANCE: Leaders need to model healthy work-life balance to their teams and prioritize their own personal and family time.
- MENTAL HEALTH: Leaders need to be aware of their own mental health and seek support when needed, as well as promote a culture of openness and support around mental health within their teams.
- STRATEGIC THINKING: Leaders need to be able to think strategically and make decisions that align with the long-term goals of the organization.
- EMPATHY: Empathy is crucial for leaders to understand and relate to their team members, build trust, and create a positive work culture.
- CONTINUOUS LEARNING: Leaders need to be committed to continuous learning and development, staying up-to-date with industry trends and best practices to effectively lead their teams.
- CHANGE MANAGEMENT: Practitioners can assist individuals and teams in navigating through the fear of the unknown to embrace the potential that comes with change.
- LEADERSHIP & MANAGEMENT: Practitioners support in leadership and management to develop strategies, build processes, use best practices and support their workforce to get results
- EQUITY DIVERSITY INCLUSION BELONGING (EDIB): Practitioners can support leaders to create an environment that supports all people to have equal rights, treatment, be welcomed and included, so that they do not experience any disadvantage because of belonging to a particular group.
- PSYCHOLOGICAL SAFETY: Practitioners can support leaders to foster an environment where people feel safe to speak up, take risks, and make mistakes without fear of negative consequences.
- GRIEF SUPPORT
- STRENGTHS-BASED LEADERSHIP
- UPSKILLING
- STRATEGIC INTERVIEWING/HIRING
- ADDICTION
- OTHER: Please describe other areas for support if applicable
Please describe other areas for support if applicable*
Share your relevant qualifications*
Tell us about your modalities, methods, tools, etc. and how you deliver them to individuals and groups.*
Audience(s) you serve*
- C-level Executives
- Management
- Key Personnel
- General Staff/Employees
- Any Age
- Women
- Men
- Any Identity
- Athletes
- Age Specific Groups (Add details in 'other')
- People from minority groups
- LGBTQ+
- Other
Other audience(s) you serve*
Main areas of support*
- Physical Health/Nutrition
- Stress Management
- Grief, Loss & Transition
- Leadership
- Fitness or Yoga Classes
- Financial Wellness
- Communication
- Diversity, Equity, Inclusion, and Belonging
- Resilience
- Self-Development
- Self-Care
- Life-Work Balance
- Emotional Intelligence
- Gratitude and Compassion
- Other
Please describe other areas of support if applicable*
Are you qualified in any psychometric profiling tool and if so which one?*
- Yes
- No
Fill in the blank*
Do you have a specific group or industry that you serve? Please list all.*
How do you serve your clients?*
- Virtual
- In person
- Groups
- One on One
- Workshops
- Year Long Programs
- Other Programs
- Motivational Talks
- Team Building Activities
- Wellbeing Classes
- Exercise Classes
- Other
Please describe other ways you serve*
Do you work alone or do you have or are part of a team/group of coaches/trainers?
How many programs do you have available even if not currently offered?*
Please share a relevant link (URL) to your program/offering:*
Video URL of you presenting a workshop, training, or talk.
Please share a link to your best published blog article, peer reviewed article, book or other original written work.*
Aside from English, do you speak any other languages fluently?*
- No Other
- Spanish
- Portuguese
- Italian
- German
- Arabic
- French
- Greek
- Chinese
- Japanese
- Other
Please share other language(s) not listed*
Are you currently open to new clients and to work as a Wellness Universe coach on The Wellness Practitioner Team?*
- Yes
- No
Client Reference #1 (provide contact information (email and/or phone number))*
Client Reference #2 (provide contact information (email and/or phone number))*
Hidden
How did you hear about us?*
- Referral
- Social Media
- Attended a Wellness Universe class or event
- Other (please explain)
Referral (Type their name)*
Other (please explain)*
Verify*
- Yes, I understand and agree
By clicking this box, you understand your submission of this application will begin the review process. We will review what you have submitted and may also research references based on your submission. If approved, you will be notified via email from [email protected] (Please add this email to your safe folder). You must select a membership to be a Wellness Universe World-Changer member. You are required to fill out your profile completely and accurately within the first 30 days upon approval. If you do not hear from us within 30 days, please email us. You are welcome to email us upon submission to verify we received your application. ALL CONTENTS OF THIS APPLICATION IS PRIVATE AND USED FOR SOUL VENTURES DBA THE WELLNESS UNIVERSE TO REVIEW YOU FOR MEMBERSHIP IN TheWellnessUniverse.com
Humans
Comments
This field is for validation purposes and should be left unchanged.

WU World-Changer Application by Invite Only

If you have been invited by a Senior Partner or member of The Wellness Universe to join us, please fill this out.

For full membership details, please reference:

Our Membership Meeting Video

Our Member Benefits Chart

Our Join Us Page

IMPORTANT: Upon submission, you will see the below confirmation screen.

If you DO NOT see this Thank You screen upon clicking the submit application button, scroll up and review your application. All areas that require your attention will be highlighted in RED.

PLEASE SCROLL TO BOTTOM OF PAGE AND READ EVERYTHING THOROUGHLY PRIOR TO FILLING OUT APPLICATION

WU World-Changer Application

IMPORTANT NOTE: Upon approval, you will have the opportunity to fill-in your profile. Your profile IS NOT PUBLIC and you cannot engage until you purchase your annual membership.

APPLICATION PROCESS: Fill out the application below. Your application will be reviewed by a senior member of The Wellness Universe, and you will be emailed next steps with how to enroll in membership.

WU World-Changer Application (2023)

Please submit the following:

Premier Fields

@