WU World-Changer Application Date* Date Format: MM slash DD slash YYYY 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. 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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. 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 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. 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* Business Blog URL Were you invited to WU? Enter name of the person who referred you or tell us how you heard about us*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. 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