I am a (check as many as apply):

Parent
Teacher
Therapist
Principal
Homeschooler
Counselor
Other:

Program or school you are affiliated with:
Your position with the program or school:
Ages of children you work with:

Briefly describe what you do:


What are your goals for Level 3 Certification?


What is your long-term vision as a LearningSuccess™ Coach?


How have you used the knowledge you gained from Levels 1 and 2?

Payment:
A total of $3795.00 includes four 3-day sessions, a 2-day wrap-up session, and 12 individual monthly consultations. Payment is due upon acceptance into the program. Credit cards accepted.

Payment Options

I will pay in full upon acceptance.

I would like to discuss a payment plan.

The school/program noted above is paying my fee.