Application Form: The RE Project 3.0 
Thank you for applying to join The RE Project 3.0. Spaces are limited therefore we will be reviewing all applications as soon as they come in, and will be in touch with you very soon! On occasion, we may arrange a short call to ensure this is the right project for you at this time. 
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Full Name 
Email address 
Telephone Number (Mobile) - If not in the UK, please enter international dialing code
Where are you based geographically?
What is your profession, speciality and grade?
Where do you work?
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Do you see patients/clients in this role?
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Do you use any complementary or holistic healing modalities, either personally or professionally?

If you answered yes, please elaborate on what practices you use?
What is your motivation for joining The RE Project?
What does 'Rebellious Health' mean to you?
What do you hope to get out of the project?
Where did you hear about The RE Project?
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It is important to us that our time and skills are acknowledged, whilst also ensuring accessibility to the programme. We are therefore operating an honesty based sliding scale for payments.

Here is a guide to help you.

We are hoping to procure some very limited funded bursary places (these are yet to be confirmed and there will be a separate application form). Please only apply for this option if you fit the Bottle 4 criteria and would otherwise be unable to join The RE Project due to financial reasons. 

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Thank you for completing the application form. We will connect with you very soon!
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