Application for Trauma Recovery Certification Licensure
First name
Last name
Title
Name of Organization
Email address
Phone number
United States
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Åland Islands
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo - Brazzaville
Congo - Kinshasa
Cook Islands
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard & McDonald Islands
Honduras
Hong Kong SAR China
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR China
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Qatar
Réunion
Romania
Russia
Rwanda
Samoa
San Marino
São Tomé & Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia & South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
St. Barthélemy
St. Helena
St. Kitts & Nevis
St. Lucia
St. Martin
St. Pierre & Miquelon
St. Vincent & Grenadines
Sudan
Suriname
Svalbard & Jan Mayen
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
Tuvalu
U.S. Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis & Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Phone number
Type of Organization
Corporate
Nonprofit
Disaster Aid/Recovery Organization
Number of Seats for Certification
0-14
15-24
25-49
50-99
100-149
150-249
250-499
500-999
1,000-1,999
2,000-5,000
What cohort size do you anticipate for the 16 Week Live Virtual Facilitation Sessions?
Everyone enrolled, all at the same time
15-50
50-100
150-250
250-500
Please specify
When would you like the certification program to begin?
Immediately
1-3 months
3-6 months
6-12 months
Whenever we secure funding
On this specific date, with weekly live 1 hour facilitation sessions to take place on this day/time:
Do you have funding secured currently for certification?
Yes
No
What is your budget for certification?
Do you plan to pay for your Certified Trauma Recovery Practitioners to renew their certification annually?
Yes
No
If no, do you understand that your team members will be responsible for individually renewing their certification annually at a cost of up to $300 per person?
Yes
No
Other - please specify:
In addition to the 16 week Trauma Recovery Certification Program® are you interested in any additional specialized trainings to be delivered via video teachings in the same online member site as the Certification Program at an additional cost?
Disaster Aid and Recovery
Spiritual Dimensions of Trauma Recovery
Trauma Recovery for Children & Families
Trauma Recovery for Couples
Expand Your Business Through Trauma Recovery
Not Interested
Other - please specify:
How did you hear about the Trauma Recovery Certification Program®?
A Certified Trauma Recovery Practitioner®
An organization who has gone through the program
Word of Mouth
Internet Search
Emma Churchman
Other (name of specific person, if applicable):
Submit
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