Application for Healing the Healer retreat package
Please complete this brief CONFIDENTIAL application so we can understand where you’re at on your path. I am able to take no more than 9 participants, so please fill out the form thoroughly and honestly. If it seems like you are a good fit, I will reach out to you with a letter of acceptance! If it seems like we are not a match, we will reach out to you with some helpful resources and possible next steps for you.

(Please contact if you have any questions. I am happy to help!)

Email address *
Email address (again) *
Your First and Last name *
Your current work setting *
Are you able to take part in BOTH retreats (Northfield and Cabarete)? *
Briefly describe your current struggles with burnout and/or compassion fatigue. *
What is "calling you to" the Healing the Healer retreats. *
What else would be helpful for me to know about you. *
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