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Enrollment Application

To apply for enrollment in any of our programs, please complete the registration form below.

Registration Form

Pronoun Other (Please specify)
2. What do you need to achieve these goals? Check all that apply:
3. What obstacles are holding you back from achieving this goal? Select all that apply.
4. Which program(s) most interest you? Select all that apply:
5. Do you have a background or any previous experience in the holistic industry or working with a coach, therapist, counselor, psychologist, healing professional, holistic practitioner, naturopath, or in a similar profession?
Yes
No
Other
6. Have you ever been in counseling, therapy, or worked with a coach?
Yes
No
Other
8. Becoming an accredited practitioner requires initial training and certification. Are you willing to do the work required to successfully remove the programming to these obstacles and become internationally certified?
Yes
No
Other
9. Do you currently have the financial resources or access to financial resources to get started on becoming an accredited practitioner? Please select the answer below that best describes your situation: