Application for Microdosing Practitioner Training
Thank you for your interest in our upcoming cohort! If you have any questions related to this application, please email us at adrian@mycologypsychology.com
Sign in to Google to save your progress. Learn more

Who is not recommended to take this program? People that have a history of bi-polar disorder or schizophrenia, are taking SSRI medications or history of heart-related issues.


*
Required
Full Name *

Email Address:

*
Phone Number: *

Occupation:

*

What draws you to the practice of microdosing, and what is your intention for taking this training?

*

Please describe any personal experiences you have with microdosing, including the medicines used and the impact on your well-being.


*

What is your educational and professional background, and how do you believe it has prepared you for a career in microdosing practice? This could be training in coaching, various schools of psychology, nursing, doula training, social work, psychiatry, personal training, yoga, functional medicine.


*
Have you professionally held 1:1 space? Meaning, have you ever been hired to work with individuals towards a goal. Have you held space for someone professionally? Have you mentored, coached, taught, offered a container, a healing session, etc and gotten paid for your time?
*
Have you had personal experience with entheogenic / plant medicines?
*

How would you explain the concept of microdosing to someone unfamiliar with it, and what potential benefits and risks would you highlight?


Microdosing involves navigating complex ethical and legal landscapes. How would you address these challenges in your practice?


As a practitioner, how do you plan to keep updated with the evolving research and practices in the field of microdosing and psychedelics?


Where do you see your practice in 5 years, and how do you plan to contribute to the broader field of psychedelic research or therapy?


Are you able to commit to the full duration of the training program, including any practical or experiential components that may require your presence online?

*

Are you interested in attending a supplemental 3 day retreat in Colorado? The retreat will include a ceremony experiential and an opportunity to connect with your cohort in person at an additional price of $1555. The retreat will be hosted at a legal plant medicine church (www.ceremoniacircle.org). Availability is limited to 15 participants, you can also decide later if there's space available.

*

How did you hear about this program?

*
We have a limited amount of BIPOC Scholarships. Are you a BIPOC person in need of financial support in order to take this program?
Clear selection
Is there anything else you'd like to add for our consideration in you for this program?

Acknowledgment: This training does not mean you are a Mycology Psychology Practitioner but will receive a certificate of completion from Mycology Psychology  and the tools to be a Microdosing Practitioner. 

*
Acknowledgment: This training does not promote or condone illegal activity. This training is strictly for educational and harm reduction purposes only. Please be aware that certain plant medicines are still illegal in many countries. By enrolling in this training, you agree that Mycology Psychology takes no responsibility for your actions.
*
Do you want to be added to the Mycology Psychology Newsletter to stay connected and up to date with the community? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of mycologypsychology.com. Report Abuse