SDMI Life Coach Application and Requirements
This form is for individuals applying for Life Coach certification under the SDMI waiver program. It outlines necessary qualifications and commitments for applicants. Completing this application is the first step towards providing essential services to members.
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How do I fill this out?
To fill out this form, start by entering your personal details in the designated sections. Next, carefully read the requirements and initial next to each one that you agree to. Finally, ensure that you sign and submit the application as directed.

How to fill out the SDMI Life Coach Application and Requirements?
1
Read the application requirements thoroughly.
2
Fill in your personal information accurately.
3
Initial each requirement you agree to.
4
Attach your resume and relevant documents.
5
Submit the completed application as instructed.
Who needs the SDMI Life Coach Application and Requirements?
1
Individuals seeking Life Coach certification in SDMI.
2
Social workers providing services to SDMI members.
3
Healthcare providers needing to verify life coaching credentials.
4
Agencies looking to ensure their staff complies with SDMI requirements.
5
Members of the SDMI waiver program needing advocacy services.
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What are the instructions for submitting this form?
Submit the completed application via email to HHSAMDDGeneralInfo@mt.gov. Alternatively, applications can be mailed to the designated agency address provided in the guidelines. Ensure to keep a copy of your application for your records for future reference.
What are the important dates for this form in 2024 and 2025?
Please check for updates regarding submission deadlines for the application for 2024 and 2025. Dates may vary based on program changes, so stay informed through the official SDMI updates. Make sure all documents are submitted timely to ensure your eligibility.

What is the purpose of this form?
The purpose of this form is to assess applicants for Life Coach certification under the SDMI waiver program. It ensures that all potential Life Coaches meet specific criteria and understand their responsibilities. By filling this form, applicants commit to providing quality services to SDMI members.

Tell me about this form and its components and fields line-by-line.

- 1. Applicant Name: The full name of the person applying for certification.
- 2. Phone: A contact number for the applicant.
- 3. Mailing Address: The current mailing address of the applicant.
- 4. Agency: The agency or organization the applicant represents.
- 5. Location of Services: The areas where the applicant will provide services.
- 6. Date: The date when the application is completed.
What happens if I fail to submit this form?
Failure to submit this form can result in delays in starting your services as a Life Coach. It may also lead to ineligibility for the SDMI waiver program. Ensure that all requirements are fulfilled to avoid potential setbacks.
- Ineligibility: Without submission, you cannot be certified to provide services.
- Delays in Service: Incompletion may postpone your ability to start providing Life Coaching.
- Lack of Compliance: Not submitting the form means non-compliance with state regulations.
How do I know when to use this form?

- 1. Life Coach Certification Application: To apply formally for Life Coach certification.
- 2. State Compliance Requirement: To ensure compliance with state regulations for service provision.
- 3. Member Advocacy Services: To begin supporting members of the SDMI waiver program.
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