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Apply to be a GFFS Coach
3
Basic Information
Name
First
Last
Email
Phone
Cell / Home / Work
Address
Street
City
State / Province / Region
Postal Code
Please select...
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
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Belarus
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Benin
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Brazil
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Yemen
Zambia
Zimbabwe
Country
CURRENT EMPLOYER
Company Name
DATES EMPLOYED
Start Date
End Date (Select today's date if still employed)
GLUTEN-FREE KNOWLEDGE
DO YOU LIVE A GLUTEN-FREE LIFESTYLE?
Yes
No
HOW LONG HAVE YOU LIVED GLUTEN-FREE?
WHERE HAVE YOU FOUND THE BEST INFORMATION ABOUT GLUTEN-FREE LIVING?
IF YOU ARE LIVING A GLUTEN-FREE LIFESTYLE, DO YOU HAVE A WEBSITE RELATED TO IT?
Yes
No
WHAT IS THE WEBSITE?
IF YOU LIVE A GLUTEN FREE LIFESTYLE, DO YOU USE SOCIAL MEDIA TO PROMOTE YOUR GLUTEN FREE LIFESTYLE?
Yes
No
FACEBOOK
Please include link for promoting Gluten Free lifestyle
TWITTER
Please include link for promoting Gluten Free lifestyle
INSTAGRAM
Please include link for promoting Gluten Free lifestyle
PINTEREST
Please include link for promoting Gluten Free lifestyle
ARE YOU A GLUTEN INTOLERANCE GROUP BRANCH MEMBER/SUPPORT GROUP MEMBER?
Yes
No
DO YOU RUN THE BRANCH YOU ARE A MEMBER WITH?
Yes
No
DO YOU CURRENTLY WORK WITH CLIENTS AS A DIETITIAN, PERSONAL CHEF OR MEDICAL PROFESSIONAL?
Yes
No
WHAT ARE YOUR CREDENTIALS?
(eg.; MD, ND, RD, LCSW, RN, CC, CSC, CCC, CEC etc.)
DO YOU OWN/OPERATE/MANAGE A FOOD SERVICE BUSINESS?
Yes
No
(eg.; restaurant, personal chef, food truck, bakery, café, etc.)
WHAT IS THE NAME OF YOUR FOOD SERVICE BUSINESS?
PLEASE BRIEFLY DESCRIBE YOUR FOOD SERVICE BUSINESS:
ARE YOU SERVSAFE CERTIFIED?
Yes
No
HAVE YOU EVER HELPED SOMEONE NEW TO THE GLUTEN-FREE LIFESTYLE THROUGH THE INITIAL LEARNING PROCESS?
Yes
No
IN 300 WORDS OR LESS WHY DO YOU WANT TO BECOME A GFFS COACH?
DO YOU HAVE AT LEAST ONE LETTER OF REFERENCE FROM SOMEONE THAT HAS BEEN INVOLVED WITH YOUR GLUTEN-FREE EXPERIENCE IN SOME WAY.
Yes
No
PLEASE SUBMIT AT LEAST ONE LETTER OF REFERENCE FROM SOMEONE THAT HAS BEEN INVOLVED WITH YOUR GLUTEN-FREE EXPERIENCE IN SOME WAY.
If you would like to submit your application today, without a reference letter, please send your reference letter with your last name in the subject line to coach.gffs@gluten.org within 5 business days
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