★ POCA Auricular Acu-Tech Training (AAT) ★ APPLICATION FORM. Use this form for PROVIDENCE, RI Trainings only.

STEP 1-APPLY: Complete this form to APPLY to an upcoming ear training. Enrollment is limited for each section, but we plan to keep offering trainings as long as there is interest. Applications will be accepted on a rolling basis until each section is full. We will contact you via email or phone to let you know if there is space in the section you requested. Applications for those who will be able to use 5NP via the new RI law are being prioritized.  

STEP 2-REGISTRATION: Once your application is accepted you will need to determine your registration fee on a sliding scale of $280 to $360. You will be invoiced via email for the amount you choose. Payment in full  to hold your spot and confirms your registration. We accept credit cards, checks, and cash.

STEP3-JOIN POCA: Create a membership with the People's Organization of Community Acupuncture (POCA), by visiting https://pocacoop.com/join/punk-member. Joining POCA helps support projects like AAT trainings and helps our growing community of AATs and AAT trainers stay connected. 
Which of the following are you applying for? (pick one) *
First Name *
Last Name *
Pronoun(s) you use *
Phone Number *
Address *
If your first choice for training dates is not available which other dates could you attend?
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City *
State *
Zip Code *
Occupation and/or organizational affiliation *
Tell us briefly why you are interested in attending an AAT training *
How you plan to implement the 5NP in your work and/or community?
How did you hear about this training? *
Questions?  Anything else we should know for you to be able to participate in this training?
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