Trauma Resiliency Model (TRM)® Practitioner Certification Application
If you are interested in becoming a Certified Trauma Resiliency Model (TRM)® Practitioner, please complete the following questions.

Your application is not considered complete until all items are answered and you have paid the $50 nonrefundable fee.
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First Name *
Last Name *
Address of practice *
Contact phone number *
Contact email (please ensure this is an inbox regularly monitored, as we heavily rely on email for communications) *
Degree/License Type *
Area of Concentration *
Occupation (agency, private practice, etc) *
Number of clients seen weekly (average) *
Have any grievances, complaints, or actions been filed against you in the last 5 years with any regulating body, including any civil or administrative proceedings? *
If yes to the above question, explain below.
Do you have any grievances, complaints, or actions pending towards you by any regulating body? *
When did you attend TRM Level 1 training? *
When did you attend TRM Level 2 training? *
Have you paid the application fee at the TRI Website. NOTE: Your application is considered Incomplete until payment is received. *
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