Corps of Depth Healers Certificate Program

Application Form

Section I: Applicant Information

First name

Last name

Email

Section II: Educational Background

Do you hold at least a Bachelor's degree from a regionally accredited institution in the helping professions (e.g., psychology, social work, nursing, etc.)?

Yes

No

Institution Name:

Degree Earned:

Year of Graduation:

Section III: Statement of Intent

Please provide a brief statement (250 words max.) on what you hope to gain from completing the Corps of Depth Healers Certificate Program.

Do you attest to full participation in the 16-week certificate program, including readings, assigned videos, assessments, discussions, consultation calls, and a culminating case study paper?

Yes

No

Section V: Areas of Emphasis

Section VI: Signature & Agreement

I confirm that all information provided in this application is accurate and truthful. I understand the expectations of the program and commit to active participation if accepted.

Signature

Signature field is empty.