Virtual Art4Healing® Certificate Program Application
Thank you for showing interest in the 6-Week Intensive Virtual Art4Healing® Certificate Program. To get started, you will need to fill out the following form.

Before committing to our certification program, we would like you to consider taking one of our Art4Healing Live workshops held each weekend if you have not taken a workshop with us before. This is a great opportunity to experience what we do and familiarize yourself with our Art4Healing method.

If you have any questions about the Virtual Art4Healing® Certificate Program, please email amy@art4healing.org

(Certification awarded by Art & Creativity for Healing Inc.)

Full Name: *
Email: *
Phone: *
Are you at least 18 years of age? *
City, State: *
Which session are you applying for?
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1. How did you hear about Art & Creativity for Healing, Inc.?  Were you referred by anyone? If so, who? *
2. Have you taken an Art4Healing Workshop  previously? If yes, which one? *
4. In 4-5 sentences, please describe yourself.  Talk about your background, your personality, your goals, your hobbies and anything else you'd like to share. *
What is your current profession? Does this relate to Art4Healing and would you be able to use Art4Healing in your current job? What are some of your future goals? Where do you see yourself in 5 years? How will Art4Healing assist in guiding these goals?
Please list any certifications/degrees that you are completing or hold currently. *
3. In 2-3 sentences, please explain how do you plan on using the Art4Healing® method in your community? Do you already have a place in mind?  If so, where? *
Please note, the Art4Healing Method is not Art Therapy. We offer fine art therapeutic, group workshops. We do not offer any type of diagnosis or interpretation. Art Therapy is a completely separate field of practice and institution. Therefore, we do not mix Art Therapy with our method or other mediums.
5. In 2-3 sentences, please explain what self-awareness steps have you taken or are taking to nurture yourself in order to achieve a healthy mind, body and soul? *
Have you visited our website and read about Art & Creativity for Healing? *
By entering your initials in the space below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge. *
Date *
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We will review your interest form within 48 hours of the business week. We do not provide scholarships or payment plans. We are a small non-profit organization relying on the proceeds from the certification program to pay for overhead costs, therefore allowing 100% of our grant/donation resources to go to our programs. In addition, please be aware that each participant is required to sign a training agreement before participating in any certification activities.
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