Practitioner Certification Application

Practitioner Certification Application
Tier 4 - Certification

You may begin the Practitioner Certification Program as soon as you complete your live Mindful Consulting Course (Tier 3)

Please complete each section. If you have not yet completed your Tier 3, please list the course you will be attending.

If an item does not apply, simply list N/A.

The matriculation, homestudy and mentor review fee for practitioner certification is $500, and includes all videos, personalized feedback for all home study and cases and live webinars.

After completing this form, please remit fee here

This is an ongoing program, you may apply for certification at any time

* Required fields

Name *

E-mail Address *

Your address *

City *

State or Province *

Postal Code *

Country *

Phone # with area code *

I confirm I have read the FAQs at https://www.bachflowereducation.com/faqs-courses.html *

Tier 3 course taken- Date & Location *

Tier 2 course taken- Date & Location *

What is your occupation? *

How long have you been using the Bach flowers personally? If you have been using them professionally, how long have you been doing so? *

Qualifications - Please list any degrees/training/qualifications you may have *

Do you currently run a practice and if so, in which modality/ies? *

What skills or qualities do you possess that you feel would be an asset as a Bach flower practitioner? *

Is there anything else you would like us to know?

I have read and agree to the Privacy Policy *

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