Fillable EXAM CHECKLIST (National Board for Health and Wellness Coaching)

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EXAM CHECKLIST (National Board for Health and Wellness Coaching)

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EXAM CHECKLIST
EXAM ELIGIBILITY REQUIREMENTS:
To Qualify for the National Board Certication Exam you must:
EXAM APPLICATION STEPS:
To Apply for the National Board Certication Exam
» complete an NBHWC
approved training
program.
Create an account on the
National Board of Medical
Examiners:
www.mynbme.org.
» complete 50 health
& wellness coaching
sessions.
Register and pay for
the exam.
» have an associate’s
degree or higher or
4,000 hours work
experience (any eld).
Upload the following
documents before the
application deadline:
3
c
2
b
1
a
» The application
fee is $100 (non-
refundable.)
» The exam fee is $350.
» Fees must be paid
prior to submission.
» Click here to read our
Fee Policy.
» Letter of Completion
from an Approved
Training Program.
» Your NBHWC
Coaching Log.
» Education or
Work Experience
Attestation Form
NBHWC HEALTH AND
WELLNESS COACHING LOG
To sit for the HWC Certifying Examination, all health and wellness coaches are required to
provide a written log of 50 health and wellness coaching sessions that meet the following
criteria.
Health & Wellness Coaches may begin recording coaching sessions in their coaching log
after they have completed a Practical Skills Assessment (PSA) provided by their NBHWC
Approved Training Program. If you have questions regarding when you passed your PSA,
please contact your program directly.
Only coaching sessions
that occur after passing the
PSA may be included in the
coaching log.
A coded identity for
your client to retain
condentiality.
Coaching sessions can
be paid or pro bono.
A general overview of
the topics discussed
with your client.
Coaching must be facilitated in
person, by phone or using live
interactive technology such as
Facetime or Skype.
Coaching sessions may not
be with friends, family or
classmates.
The length of your
coaching session.
75% of each coaching session
must be devoted to coaching
facilitation and not education.
Each coaching session
must be a minimum of
20 minutes in duration.
The date of your
coaching session.
For each coaching
session your log
must include:
Example:
1
3
2
4
Coaching
Session
Client’s
coded
identity
Date of
coaching
session
Length of
coaching
session
Session #
with coaching
client
Topics discussed
during the coaching
session
Individual/Group
(If you are coaching a
group, please list the
number of participants)
1 X23 Individual 3/3/12 30 min. 6
Test results,
fears, goals
2 X24
Group, 6
participants
6/5/13 60 min. 1 Children and stress
3 X25 Individual 7/ 1 7/ 1 4 30 min. 3
Sleep and eating
habits
COACHING LOG
Complete the log below and submit it when you apply for
eligibility to sit for the National Certication Examination.
Coaching
Session
Client’s
coded
identity
Individual/
Group
(If you are coaching
a group, please
list the number of
participants)
Date of
coaching
session
Length of
coaching
session
Session #
with
coaching
client
Topics discussed
during the coaching
session
1
2
3
4
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On my honor, I attest/certify/promise that I provided the above listed coaching
sessions as noted. In each listed session, at least 75% of the time was spent
coaching, rather than solely educating.
Signature Date
click to sign
signature
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Documentation of Education
Attestation Form
Signature
Date
On my honor, I attest that I have an associate’s degree (or higher) and am
eligible to sit for the Health & Wellness Coach Certifying Examination.
I am aware that I may be audited and asked to present a transcript of my
completed education.
click to sign
signature
click to edit
WORK EXPERIENCE OPTION
I have neither an associate degree or higher,
nor 60 college credits.
Employer
Manager or
Supervisor
Contact Information
Job Title Dates Employed
Total # of
Hours in this
position
Please summarize your 4,000 hours of work experience to meet the eligibility
requirements to sit for the Health & Wellness Coach Certifying Examination.
Please provide the following information using the form below:
A summary of your 4,000
hours of work experience
Names of your previous employers
(towards the 4,000 hours)
Job Title
Manager or Supervisor Contact
Information
Dates Employed
Average Monthly Hours
Total number of work
experience hours
A notarized copy of the HWC
Work Experience Form
1
5
2
6
3
7
4
8
On my honor, I attest that the above information is accurate and true.
This instrument was signed or acknowledged before me on
Signature
Date
State of
By
County of
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EXAM CHECKLIST (National Board for Health and Wellness Coaching)

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Completed 5 July 2021

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