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Group KAP Leadership Retreat Application
Thank you for your interest in
How to Create Conscious Containers: Elevate Your Psychedelic Group Leadership Skills
from June 5-9, 2024. Please fill in the form below to apply.
We want to ensure a good fit and create a safe container for learning. We might follow up with a brief Zoom interview. If this group is not a good fit we will let you know.
Thank you!
Eva, Steve, and Katja
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Name
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Email
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License / profession
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Please let us know why you are interested in this training
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We welcome all levels of experience - please let us know what your group leadership experience level is
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If you feel comfortable, please share a little about your own experiences with non-ordinary states of consciousness, individually and in groups, above or underground.
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Roughly how many ketamine sessions (individual and/or group) have you guided?
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What modalities outside of KAP - if any - do you practice? (E.g., addiction treatment, EMDR, IFS, mindfulness...)
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Your answer
We have a few sliding scale options, if you work in community mental health or belong to an underrepresented provider group, please outline in a few sentences what your hardhip is and what you are able to pay
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Is there anyone you would not feel comfortable being in this training retreat with, either in general or in one of the smaller cohorts?
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Do you have any medical or other health conditions that are contraindicated for ketamine?
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Thank you! We will be in touch.
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