Graduation & Website Information

Graduation & Website Information

Use this form to submit the information needed for your website, certificate, and graduation.

Please read through the entire form first, to make sure you have gathered the necessary information. There is no way to save a partially completed form. For example, make sure you know your domain name, have your photos ready, make sure your bio is written and ready to copy and paste, etc.

If you have any questions, please post in the Facebook group or ask on our group call.

  • Date Format: MM slash DD slash YYYY
  • Name on Certificate

    Please indicate how you would like your name to appear on your official IFCI certificate. For example: Jennifer H. Jones, NP. Click here to see a sample certificate.

  • Mailing Address

    Please provide the email and mailing address where you would like us to ship your official certificate.
  • Coaching Log

    Please upload your log of coaching hours as required for this class. You may upload a jpg, gif, pdf, or png file that is 1 MB or smaller.
  • Accepted file types: jpg, gif, png, pdf.
  • Website Hosting Options

    Please indicate your preference:

  • Website Address

    Please type in the web address you would like to use for your website. If you're not sure what domain name you'd like to use, I recommend using your name. Examples: MyRestoredHealth.com or TamiStackelhouse.com.

    Note: If you have chosen the Totally Free option above, your web address will end in .weebly.com. For example: TamiStackelhouse.weebly.com.

  • Name on Website

    Please indicate how you would like your name to appear on your website. For example: Jen Jones, NP

  • Email Address

    What email address will be used with your website and prospective clients? This will be your Weebly login and all website notifications will be sent here, including customer inquiries. This is also the email address I will give to prospective clients when making referrals. Note: This is never displayed publicly.

  • Phone Number

    What phone number should I give to prospective clients when making referrals? Also, please indicate if you want this number displayed on your website.

  • Website Header Image

    What image would you like to use in the header of your website?
  • Ideal Client

    What is your ideal client's problem and dream come true? What keeps her up at night? What does she worry about when she can't sleep? What does she desperately desire? Below, write in 3-7 bullet point items in your ideal client's words (5 is ideal). These will be the bullet points on your home page.
  • Personal Photo

    This photo will be used to promote our graduation and as part of the event slide show. It can be as formal or casual as you like, but should be focused on your face (aka, a "headshot"). Make sure the image size is at least 300x300 px. You may upload a jpg, gif, pdf, or png file that is 1 MB or smaller. Click here to see an example of how your photo may be used.
  • Accepted file types: jpg, gif, png, pdf, jpeg.
  • Personal Bio

    This bio will be used to introduce you during graduation and as part of our graduation promotion. We suggest copying and pasting from a text document saved on your computer, in case there are any technology issues. Bio is limited to 700 characters, including spaces. IFCI may edit your bio for use in various forms and locations.
  • Signature & Agreement

    Please accept each statement by marking the individual checkboxes. When finished, type your name below to digitally sign the document.
  • The information provided on this form is exactly the way I would like it to appear on my official certificate. I understand that any changes requested after the submission of this form will result in administrative change fees.
  • As a graduate of the International Fibromyalgia Coaching Institute, I hereby grant IFCI permission to use the attached bio and photo in publications, news releases, online, and in any and all other communications or advertising related to the mission of IFCI.
  • I hereby grant IFCI permission to use any photographs and/or audio/video recordings of me taken in conjunction with my IFCI graduation in publications, news releases, online, and in any and all other communications or advertising related to the mission of IFCI.
  • By typing your name below, you are digitally signing this application, verifying that all of the information provided is complete and factually correct, and that you have completed the necessary requirements to receive your Fibromyalgia Coach certification. The International Fibromyalgia Coaching Institute reserves the right to rescind your application and/or void your certificate should they discover that the information submitted here is not correct or certification requirements have not been completed. See your signed Program Agreement for additional details.
  • This field is for validation purposes and should be left unchanged.