Name *

First Name

Last Name

Do you have any learning disabilities or medical conditions that may influencer your learning needs?

Yes

No

Have you ever been diagnosed with a mental health condition? *

Yes

No

Which concentration, if any, are you considering? *

Declaring a concentration is not required and is selected at the end of year 1. We are not asking you to declare a concentration now, just measuring our student's interest.

Somatic Psychology

Addiction Counseling

Early Childhood & Educational Psychology

Psychedelic Therapy

Do you currently work with clients in a health/wellness capacity? *

Yes

No

For your practicum hours, do you plan to build a coaching business, or get an internship? *

Practicum hours begin in year 2. You have the option either to secure an internship, or use the hours from clients in your practice (paid, or unpaid).

Build my own practice

Get an internship

I'm not sure yet, still deciding