Apply to become a benefits coach

titleanddescription

Benefits Coach Certification Application

Please complete the form below. Fields marked with an asterisk (*) are required. If you have questions, call the Hub at 1-866-333-2486.

Step 1:

textReadAndAcknowledgeCertReqmt

Read and acknowledge Certification Requirements

acknowledgeCertReqmt *

As a professional in disability services applying for the Benefit Coach Certification process, I acknowledge that I have read the Benefits Coach Certification Requirements document and expect that I will be able to meet the requirements as outlined. *

Step 2:

acknowledgetrainings

Acknowledge completion of trainings

acknowledgeTrainingStatement

To apply to become a benefits coach, applicants must first complete the Hub’s Level 1 and Level 2 Benefits Planning tranings.

acknowledgeCompleteTrainings *

I acknowledge my completion of these trainings. *

Step 3:

AttachSupervisorRecommendationForm

Attach Supervisor’s Recommendation Form

uploaddocument

AttachSupervisorRecommendationInstructions

To become a benefits coach, applicant’s need the approval of the direct supervisor. If you have not done so already, please download the Supervisor’s Recommendation form (PDF), have it signed by your supervisor, and then attach it below.

Step 4:

Contact Info Subheading

Enter Contact Information

firstname *

lastname *

employer *

jobtitle *

workaddress *

workcity *

workzipcode *

email *

workphonenumber *

supervisorname *

supervisoremail *

Step 5:

digitialsignature *

Step 6:

submityourapplication

Submit your application

submitYourApplicationStatement

Note: Benefits coach applicants are expected to be a member of the Disabiity Hub MN Benefits Learning Community. By submitting your application, you agree to have your name and email address added to the community if you are not already a member.

Apply to become a benefits coach

Benefits Coach Certification Application

Read and acknowledge Certification Requirements

Acknowledge completion of trainings

Attach Supervisor’s Recommendation Form

Enter Contact Information

Submit your application

Chat, call or email the Hub.

Your feedback

Apply to become a benefits coach

Benefits Coach Certification Application

Read and acknowledge Certification Requirements

Acknowledge completion of trainings

Attach Supervisor’s Recommendation Form

Enter Contact Information

Submit your application

Thank you for submitting your application to become a Benefits Coach.

Validation Errors

Chat, call or email the Hub.

Your feedback