GET CERTIFIED | Divas In Defense®

| READY TO GET CERTIFIED

Thank you for choosing to join our Divas in Defense family as a Certified Basic Self-Defense Instructor. Once you have completed this application, one of our Fierce & Fabulous Support Team members will contact you shortly. The process can take three to eight weeks to complete, but you can start marketing your courses in as little as two weeks.

As a safety-focused company, we rely on the most secure companies to facilitate our organization’s needs. Please complete the SECURE application below in its entirety.

Full Name:

First Name

Last Name

Email:

ex: myname@example.com

Phone Number:

ex: (555) 555-5555

Address 1:

Street Address

Address 2:

(Apt., Suite, Box, Unit, etc.)

City:

State:

Zip Code:

choose:

Date of Birth:

Day

Year

Upload Driver's License, State ID or Passport:

Are you COMMITTED to the cause to STOP VIOLENCE against women and children?

Have you ever been convicted of a felony or misdemeanor?

A conviction does not automatically disqualify you, we evaluate each unique situation separately. Be VERY honest and detailed in your description.

If, yes: (Explain)

Have you ever been charged with a crime against women or children?

Do you unlawfully use a controlled substance?

Have you ever been involuntarily admitted to a mental institution?

Why do you want to be Certified as a Self-Defense Instructor?

Choose a Certification:

*Add +$199 One Time Installment Fee

By typing your name below, you authorize Divas In Defense Inc. to charge you for Divas In Defense Certified Instructor training. In addition, you comply with the terms set forth in our Certified Instructor Terms & Conditions. If you choose to be a Divas In Defense Certified Instructor, you will receive an electronic Certified Instructor Agreement to sign and return. You are obligated to submit a background check no less than 30 days old to Divas In Defense.

Please review our Certified Instructor Terms & Conditions here.

Electronic Signature:

52322

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