Apply for Access to MIND Programs

Please fill in the form below. Tick the boxes of the program you feel would benefit you the most and help us understand why you deserve a discount.

First Name *

Last Name *

Email *

Phone number *

Which program are you applying for? *
Augmented Psychotherapy TrainingBeyond ExperienceFootstepsIntegration Facilitator TrainingINSIGHT conferenceMembershipMolecules

What amount can you pay for the program?

Please attach a motivation letter describing how the program would benefit you and why you want to partake in it. The motivation letter should also explain why you are eligible for the requested special access.

Motivation Letter *

I confirm I’ve read, understood, and accepted the privacy policy. Any documents submitted will be handled with the utmost respect to your privacy. Your statements will never be shared or granted access to by others or third parties. *

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