Apply to Join Root to Rise

Welcome!
Thank you for your interest in the Integration Experience: A 10-Week Journey to Prepare, Integrate, and Thrive.

This program is designed to support those exploring non-ordinary states—whether through  psychedelics or other modalities —by providing structure, community, and expert guidance to transform insights into lasting growth.

Because this work requires a safe, committed group, we ask you to complete this brief application. Your responses will help us ensure this program is a good fit for you.

If accepted, you’ll receive an email with payment details to confirm your spot. Space is limited to 20 participants.


⚠️ Disclaimer:
This program does not condone or promote the illegal use of psychedelic substances. It is intended for harm reduction, education, and integration support only. Participation in this program is not contingent upon or a guarantee of any psychedelic experience. Any decisions to use substances are made independently by the participant and at their own risk.
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Full Name

Email

Location + Time Zone

Have you worked with non-ordinary states of consciousness before? (Yes/No? through psychedelics or other practices? Brief description)

Do you have any relevant personal or spiritual practices (e.g., meditation, therapy, journaling)?

Do you have any current embodiment practices (e.g. yoga, tai chi, running, exercise, dance, SE, etc.)

What draws you to this program at this time?

What are you hoping to receive or explore?

Do you have current mental health support or diagnoses we should be aware of?

Do you have a history of hospitalization or a diagnosis of psychosis, schizophrenia, or bipolar disorder (Type I)?

Clear selection

Are you currently taking any psychiatric or psychoactive medications? Any other medications or supplements? (If yes, please list) 

Are you able to attend the live session? 
Clear selection
If Wednesday from 6:30 - 8:00 pm EDT doesn't work for you, what time is better
8-12 am EDT
12-2 pm EDT
2-4 pm EDT
4-6 pm EDT
6-8pm EDT
8-10 pm EDT
Sun
Mon
Tues
Wed
Thursd
Fri
Sat
Are you able to attend the October Integration Day (Oct 19 @ 10:30 - 3 pm EDT)
Clear selection
If not, is there a time that works better for you
8 - 12 am EDT
10 - 2 pm EDT
12 - 4 pm EDT
2 - 6 pm EDT
4 - 8 pm EDT
6 - 10 pm EDT
Oct 11
Oct 12
Oct 13
Oct 17
Oct 18
Oct 19
Are there any factors in your environment that may affect your mental health or integration process (e.g., isolation, housing insecurity, caregiving responsibilities, recent loss)?

How would you describe your current support system or community? (e.g., family, friends, chosen community, spiritual groups, etc.)

How did you find out about the program?

Anything else you’d like us to know?

Any questions you have for me?
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