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C-SASI Training Application
We ask all applicants for our training program to please provide us with your contact information and answer the questions below. A $700 payment is due along with the application. Payments can be made on our website:
https://www.c-sasi.org/new-products
. If you have any questions please contact us at info@c-sasi.org
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Email
*
Your email
For which training are you applying?
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Training for Clinicians
Training for Coaches
Training for Clergy / Pastors
Name:
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Your answer
Address:
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Your answer
Phone (Cell, Work, Other):
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Your answer
Website (or online presence, such as Facebook, Linked In, etc.):
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Your answer
Please provide us with your state licensing information (clinicians only), and all awarded degrees and certifications:
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Your answer
Religious / Church Affiliation:
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Your answer
Please share your journey: What led you to develop a passion for helping sex and porn addicts and betrayed partners heal?
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Your answer
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