Empathic Witnessing Certification Program Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

If you're interested in the Empathic Witnessing Practitioner Certification Program, please fill out the application below. Catherine will e-mail you shortly to discuss your qualifications for and entry into the program. Thank you so much.

Email *

What's your name? *

What calls you to this program? *

What kinds of personal growth work and exploration have you done previously? *

Please list the professional certification(s) you've already received. *

What is your current career? If it is not specifically in a healing field, describe how you already serve clients in a healing capacity. *

If you receive certification as an Empathic Witnessing Practitioner, describe how you plan to put your skills into practice. *

Do you think you might qualify for the Accelerated Program for trauma-informed mental health professionals, and would you be interested in it? *

Is there anything else you'd like Catherine to know? *

Thank you so much! Catherine will be in touch with you shortly.

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Shadow Work with Catherine Liggett. Report Abuse

Forms