Join a Group - Wellness Alliance

Please fill out the form below.

A WELCOA Representative will follow up via email with more details.

First Name:**

Last Name:**

Email:**

Enter Email Confirm Email

I would like to become a facilitator.**

If yes, please choose from the following:**

I will be coming to Summit
I can attend the training on August 10, 2022
I can meet quarterly with WELCOA Leadership and fellow Facilitators for check-in’s beginning in September 2022
I agree to a 12 month commitment to facilitate a monthly meeting on a set day and time
I am a WELCOA Faculty Member (not necessary, but nice to have)

A colleague referred me to join WELCOA Community.*

Please provide the name of the colleague who referred you below:

I am a WELCOA Member.**

Yay! We're excited to support your success!

Annual WELCOA Membership is $450

Please indicate your agreement to proceed with WELCOA Community:

I agree to be invoiced for WELCOA Membership. I understand that a Member Liaison will reach out to me to complete my membership within 48 hours.
I do not wish to be invoiced for WELCOA Membership. I understand that I cannot join WELCOA Community unless I am a WELCOA Member.

If you have a discount code to purchase Membership, please enter it below.

If you are interested in receiving a discount code as part of WELCOA Community, you can email membership@welcoa.org.