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Transformational Therapist Certification
TM
Application
Full Name
Email
Instagram/Tiktok
Professional Credential(s)
LCSW
LMSW
LPC
LMFT
Psychologist
Associate
Student
Other
License Number (optional)
State(s) of Licensure
How long have you been practicing?
Student
Under 2 years
2–5 years
6–10 years
11–20 years
20+ years
Which best describes your current work?
Private Practice
Group Practice
Hospital
Government Agency
Community Mental Health
School
Coaching
Other
Which populations do you primarily serve?
Children
Adolescents
Adults
Couples
Families
Trauma Survivors
First Responders
Faith-Based Clients
Other:
One day, I'd love to be known as the therapist who...
What's the biggest challenge keeping you from expanding your impact beyond the therapy room?
I don't know where to start.
I have ideas but don't know how to organize them.
I'm afraid of putting myself out there.
I struggle with visibility or marketing.
I don't know how to turn my expertise into courses or workshops.
I don't know how to build a community or membership.
I don't have enough time.
I worry about maintaining my ethics while growing.
I struggle with confidence or imposter syndrome.
I need accountability to actually follow through.
Other
Finish this sentence: If I could overcome one obstacle this year, it would be...
What would expanding your impact make possible, for you or the people you serve?
This certification is an investment of $1,697. Which statement best describes you?
I understand the investment and am prepared to enroll if accepted.
I may need a payment plan, but I am committed to enrolling.
I'm interested, but this investment isn't possible for me right now.
Live coaching sessions take place every Thursday at 6:00 PM CST for eight weeks.
I can commit to attending the live sessions.
I may miss one or two sessions but can remain engaged throughout the program.
My schedule will make it difficult to consistently participate.
What professional development (courses, certifications, books, conferences, or supervision) have you pursued within the past two years?
Imagine it's one year after completing this certification. What would need to be true for you to look back and say, "This changed my career"
I understand that this certification is designed for clinicians who are committed to expanding their impact through active participation, reflection, and implementation.
I understand that submitting this application does not guarantee enrollment and that applications are reviewed to ensure the best fit for the Founding Cohort.
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