CCIT Background Form for Certified Christian Integrative Therapy Certification Application

Your Name

First NameLast Name

Gender

MaleFemale

Birthdate

Relational Status

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Your Mobile

Country CodePhone Number

Your Email

Your Instagram

Who may we contact to attest your good moral character?

Please briefly describe your academic background and the level of your education. List all Certificates, Diplomas and Degrees that you have:

Are you well organized? Yes or No

Are you an effective communicator?

Are you able to hear emotional and traumatic information without getting overly emotional?

When someone questions you or disagrees with you, do you become deeply irritated, angry, or argumentative?

Do you feel a need to be right in discussions?

What else do you think would qualify you as an effective Christian Therapist?

Why are you interested to be a Christian Integrative Therapist?

Have you ever had therapy before?

YesNo

If yes, when and why?

Are you christian?

YesNo

If yes, please specify name of your home church, senior pastor name and phone number. If you are involved in ministry, which is your level od experience?

Have you ever counseled or helped somebody with a mental health condition?

YesNo

If yes, who, when and why? What did you do to deal with the situation? Describe as much as you can.

Are you presently taking any medication(s) for a mental health condition?

YesNo

List of medication(s):

Have any other biological relatives had mental health concerns?

YesNo

If yes, which relatives and what kind of concerns?

Who do you turn to for help and encouragement now? (multiple selection)

Do you have kids? If so, how many? Please list name and DOB and describe your relationship with your them.

Are you married? If so, please describe your relationship with your spouse.

How long do you live in USA?

Describe a ONE WEEK ROUTINE of your life current, from Monday to Sunday.

If we approve you, what will you expect from our TRAINING CERTIFICATION PROGRAM?

Do you have any experience in business as CEO? Do you see yourself being an owner of a Wellness Center Franchise?

Do you have unpaid debits? Is yes, how much and why?

How do you plan to operate your clinic? Online or in person?

If you get to the final phase of the selection process, do you have financial conditions to travel to Orlando for your graduation and WHITE COAT ceremony?

PLEASE UPLOAD A VALID USA IDENTIFICATION CARD OR DRIVERS LICENSE

PLEASE UPLOAD AN UTILITY BILL IN YOUR NAME

Please type the last four digits of your social security number

Please write an essay under a theme "A mentally healthy individual has the characteristics of emotional intelligence and spiritual consciousness, intellectual and social wellness".

The cost for this training is $5.250,00 plus the cost of books and other course materials as well your white coat for the ceremony. The down payment is $2.250,00 plus 06 equal payments of $500,00. Can be paid via ZELLE, debit card or credit card. Did you understand? YES or NO?

SOFIA CHRISTIAN UNIVERSITY INC.

POLICIES AND PROCEDURES

Tuition Payment and Financial Obligation Policy

At Sofia Christian University Inc., we are committed to providing a Christ-centered education of the highest quality. In order to maintain the integrity of our academic programs and ensure fairness to all students, we require each student to uphold their financial obligations as outlined in this policy.

1. Tuition Due Date
Tuition and fees are due on the first day of each month.
Payments not received by the due date will be considered late.

2. Late Payment Fee
A late fee of $150 will be applied to any account not paid in full by the first day of the month.
This fee is non-refundable and must be paid in addition to the outstanding tuition balance.

3. Access to Classes and Academic Materials
Students whose tuition has not been paid by the due date will not be permitted to attend classes, access course materials, or submit assignments until the account is brought current.
Faculty are instructed not to accept assignments from students who have not fulfilled their tuition obligations.

4. Registration and Continuing Studies
The University reserves the right to block registration for future courses, modules, or programs until all outstanding tuition and fees are paid in full.

5. Transcripts, Diplomas, and Certifications
The University will withhold transcripts, diplomas, and any official academic documents until all financial obligations, including tuition, fees, and late penalties, are satisfied.

6. Collections and Legal Action
Failure to meet financial obligations may result in the University pursuing legal action or third-party collections to recover unpaid tuition and fees.
The student shall be responsible for any additional costs incurred in the collection process, including attorney’s fees and court costs.

7. Student Responsibility
By enrolling at Sofia Christian University Inc., each student agrees to this policy and accepts full responsibility for meeting all tuition and fee obligations.
Students are encouraged to plan accordingly and ensure timely payment to avoid disruption of their academic progress.

Acknowledgment

By SUBMITTING this form, the student acknowledges receipt and understanding of this Tuition Payment and Financial Obligation Policy and agrees to abide by its terms.

Please Note: Only approved applicants will be invited to participate in the training course. If approved, you will receive an invoice for payment. You will be asked to process your payment at that time. Once your payment is received, we will schedule your psychological evaluation before to enter the classes. You will not be desqulified after your psychological evalutaion unless our practitioners identifies in you PERVERSION, in this case you will be rejected and the down payment will not be refunded to cover the costs of the evaluation.

You you will be notified shortly, in 24 hours, regarding your application approval and next steps.

Signature

CCIT Background Form for Certified Christian Integrative Therapy Certification Pre Qualification Application

APPLICATION PROCESS

Psychological, Behavioral and Moral Assessment

Assessment

Assessment

Personal Info

Background Information

Contact Information

Academic Background