Art4Healing International Certification Program Application

Thank you for showing interest in the Art4Healing® International Certificate Program. To get started, you will need to fill out the following application. This international certification is solely certified by Art & Creativity for Healing, Inc.

Before submitting an application to our certification program, we highly recommend taking one of our Art4Healing® Live Zoom workshops held every other 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.

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.

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

Please note: If you are local to Orange County, graduating from the certification program does not in any way guarantee that you will become a facilitator for Art & Creativity for Healing Inc.

Please also note: Due to a high volume of AICP applicants, the acceptance process will mainly focus on candidates that are already working within a facility where the Art4Healing® methodology will be appropriately used for underserved groups in their communities, especially that are in need of a unique approach to expressing life’s adversities.

Name*

First NameLast Name

E-mail*

example@example.com

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Are you at least 18 years of age?*

YesNo

How did you hear about Art & Creativity for Healing? Were you referred by anyone? If so, who?*

Have you taken a class using the Art4Healing® method? If yes, which one?*

Please explain why you are interested specifically in the Art4Healing® Certification.*

In 3-4 sentences, please explain how you plan on using the Art4Healing® method in your community. Do you already have a place in mind? If so, where?*

Please describe yourself. Talk about your background, your personality, your goals, 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?*

In 2-3 sentences, please explain what steps have you taken or are taking to nurture yourself in order to achieve a healthy mind, body and spirit?*

What is your motivation for wanting to pursue this certification program? Please provide a thorough answer in at least 2-3 sentences.*

Have you visited our website and read about Art & Creativity for Healing? https://art4healing.org/*

YesNo

Technical Requirements: This class requires access to a computer or laptop, a computer or laptop with a webcam for virtual meetings, a video recording device that can use up to 5 GB of space (like your cell phone) to record you teaching, and a gmail account. By saying "yes", you agree that you have or will have all requirements by the start of the program?*

YesNo

Have you read and understood the Art4Healing® International Certificate Program FAQ flyer?*

YesNo

All applicants are required to read through this flyer: https://www.art4healing.org/wp-content/uploads/2017/12/Art4Healing-International-Certification-FAQ.pdf

Date*

Date

By entering you 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. *

We will review your application within 7 days of the business week. Incomplete or insufficient applications will not be considered. We do have some scholarships available for Orange County, CA residents. We do not have payment plans. We are a small non-profit organization relying on the proceeds from the international 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 and a photography and video waiver before participating in any certification activities. If you are not able to complete these prerequisites, your application may be denied.

Please note: Art & Creativity for Healing, Inc. does not provide refunds or pro-rating of any kind for this certificate program.

Art & Creativity for Healing Inc. does not unlawfully discriminate internally (in its administrative and program operations) or externally (in provision of services) on the basis of race, political orientation, religion, gender, sexual orientation, age, national origin, ethnicity, ancestry, marital status, veteran status, or mental or physical disability or any other status prohibited by applicable law.

Please note: The Art4Healing® International Certification Program includes some curriculum that allows participants to express themselves spiritually with biblical prayers and scripture. We include these as a catalyst to allow for a mind, body and spirit exploration. Our curriculum gives all participants an opportunity for self-investigation on all levels.