Pelvic Health Sex Counseling Application
Cohort 1 will begin in January 2023. Please refer to or email for further details about the program.

The application process will be as follows:
- Applications will be received starting November 1 and ending December 1
- Applications will be reviewed on a first come, first served basis
- Cohort 1 will be accepting 50 applicants
- All applicants will be informed of their status (accepted or on a wait list) on December 9th
- In order to be in Cohort 1, registration and payment must happen by Friday, January 13th
- Cohort 1 will begin with LIVE (online) orientation on Monday, January 16th
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Email *
What is your name? *
What are your pronouns? *
Are you of Hispanic, Latino, or Spanish origin?  *
How would you describe yourself?  *
What type of licensed medical or allied health professional are you? Please include the state, country, and license number.  *
Are you interested in becoming AASECT certified?  *
What experience do you have with pelvic health and/or sexual health? *
What changes would you like to make in your profession and community regarding pelvic and sexual health?  *
How do you see the knowledge you gain in this program fitting into your career?  *
What are your goals for this certificate program?  *
Please feel free to add any additional thoughts or comments for consideration. 
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