DeathCareCoach.Com

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First Name

Last Name

Preferred Name (what you would like us to call you)

Pronouns

City (where you are currently located)

Have you applied to our Certified End of Life Practitioner Training Program before?YesNo

Please select the program format you are interested in:Community Study (Online with Live Session Cohort Option)Self Study (Online Only, No Live Session Option)Either Online Study

Our Winter 2026 Cohort starts January 4th, 2026. Live Sessions will be held on Sundays 4:00pm - 6:00pm EST (NY time). Our first Live Session in the Winter will be on January 11th. However, our Winter cohort may have the option of holding Live Sessions on another day/time. While it is not guaranteed, please let us know what day and time (including Time Zone) you would prefer. (Write N/A if you are opting for Self Study)

Tell us about yourself! Who are you? What are some aspects of your identity that feel important to you that you want to share with us?

Tell us about your WHY for death work! What is it that called you here?

What are your unique gifts? What about you is special? (So we can celebrate you!)

What is your purpose for taking this particular certification training program? (Personal benefits or professional goals?)

Do you have any experience with death work personally and/or professionally? If so, please describe your experience.

Please share your current views toward death and dying.

Have you personally experienced or witnessed a death in the past 6 months?YesNo

If yes, please describe that experience here.

Have you taken any other trainings on death, dying, or end of life care and support? (Example: Other End of Life Doula Trainings?)YesNo

If yes, what is the name of training program and when did you take it?

Please share any of your own online resources (social media accounts, websites, workshops/presentations you are hosting, published articles, community work) that you’d like us to review while we consider your application. (Optional)

We are committed to assisting those in need of financial assistance. We offer full- and partial scholarships, as well as more flexible monthly payment plans. Please answer the following to help us determine eligibility: What is your Current annual household income? How many dependents do you support, if any? What are your estimated monthly essential expenses (housing, food, healthcare, etc.)? Have you experienced any recent medical expenses or other financial emergencies/changes?

What percentage of the course fee could you reasonably contribute?

If you are interested in a more flexible payment plan: What monthly payment amount would be manageable for you? How many months would you need to complete payments?

Please let us know how you found us.

Additional Comments

We understand answers to these questions evolve in time. Therefore, we ask you to resubmit your application after a year has passed.I acknowledge my application submission is good for 1 year and will need to resubmit a new application after 1 year has passed.

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Certified End of Life Practitioner Training Program Scholarship Application