Application Form
The Certification Training is scheduled for Friday, Dec. 2 and Saturday, Dec. 3
10am - 5pm with a bonus event Friday from 7-8:30pm. All times are MDT. 
Training is In-Person and ONLINE. 
Please complete the application to confirm your spot and arrange payment. 
 Questions: Email  or text 435-915-6915
Name *
Email *
Phone number *
Profession/Current Certifications
Address to ship training manual and other materials
Which populations are you most interested in working with at what levels? 
1 - Not interested
2 - Neutral
3 - Interested
4 - Passionate
Young Adults
Substance Abuse
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Which of these trainings are you interested in certification or learning more about?
The EFT Certification Training is regularly $1299. 
2022 rate is discounted to $877
Additional discounts available. Please mark all that apply.
Which days/times are you available for the six week supervision - one hour each week (check all that apply). 
How did you hear about the training and/or college? *
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