Mind Body Genes Epigenetics Coach Certification Application
Welcome to the first step of your journey into functional genomics and epigenetics with The Mind Body Genes Certification. We're excited you're considering joining us. To ensure this certification course aligns with your goals and to help us serve you better, fill out the application below.

Our first round of students will start on December 6th!!! The group will be intentionally intimate as we want to give the proper time and attention. 5 students will be accepted into the first group! Later certification groups will be facilitated, so fill out the entire application form - no matter your preferred start date.

-Becca Roses, Mind Body Genes
Sign in to Google to save your progress. Learn more
Name *
First and last name
Email *
Phone number *
Current Practice/Work Area:
 *
Relevant Certifications (if any) *not a prerequisite:
*
Why are you interested in The Gene Queen Certification?
 *
How do you envision applying functional genomics and epigenetics knowledge in your practice or career?
 *
What type of testing (if any) do you currently offer in your practice/business?
*
Required
Have you undertaken any previous training in genomics, epigenetics, or related fields? If yes, please provide details. If not, please type N/A.
 *

Investment Options:

The Gene Queen Certification is a comprehensive course (12-week Training) designed to provide you with in-depth knowledge and practical tools. Our investment options are:

One-time Payment: $3750 (Secures your spot and provides complete access to the course materials and 12 weeks of training calls)

Payment Plan: 4 payments of $1000 (Total: $4000. The first payment secures your spot, with subsequent payments due every month.)

Which option will you need for the certification?

*

When are you available to start the certification course? Please provide your preferred start timeframe.

 *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mind Body Genes.

Does this form look suspicious? Report

Google Forms