Affiliate Partner Application

Join us as a Lucidity Continuing Education Affiliate Partner

Earn commissions for promoting sleep, dreams, and mental health trainings for psychotherapists
If you are a thought leader, mental health professional, or an individual committed to advancing the quality of therapeutic care, particularly in the areas of sleep, dreams, and mental health, we cordially invite you to join us in this mission as a Lucidity Continuing Education Affiliate Partner.

Our practice, Lucidity Sleep Psychiatry, is approved by the American Psychological Association to sponsor Continuing Education (CE) for psychologists.

As an Affiliate, you will help bring accreddited trainings to mental health professionals, providing transformative tools to expand their therapeutic practice—all while earning generous commissions!

Our Affiliate Partners are rewarded for simply introducing new therapists to our programs. When your referrals decide to become a customer, you’ll earn a commission.

And it’s easy to get started! We provide all the tools you need to promote our offerings, including access to an affiliate dashboard, media materials, and exclusive coupon codes. When your referrals join our program, you’ll receive a commission.

Application Process

All applications are reviewed before approval. Submitting this application does not guarantee admission into the program. We may request additional information to validate your account details.
Today's Date*

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Date
Your sensitive information is confidential, encrypted, and secure.
Section 1: Your Information

Section 1a pertains to the person responsible for the account.If you are filling this out on behalf of another party, please note that ALL information entered should be the account owner except as otherwise requested.
Filled out by:*

Tick here if you are the account owner.Tick here if you are filling this out on behalf of the account owner
Your name*

First NameLast Name
Your role in the company*

Affiliate ManagerAdministrative Assistant to the OwnerOwner or co-ownerOther
Email of the person submitting this form*
If you are submitting this form on behalf of the account owner, we must also have a good email address on file for you, as we may need to contact you directly regarding this account.
Affiliate Account Owner Name*

First NameLast Name
Affiliate Account Owner Email Address*
Confirm Account Owner Email Address*
Company Name
Include your company information if affiliate payments will be made to a company
Affiliate Account Holder Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Best Phone Number*
Please include the complete number with the country code.
Will we be paying commissions to the account owner as an individual or will we be paying commissions to a company?**

Payment will be made to an individualPayments will be made to a company
Section 2: Account Validation
Your website URL*
List links to your Facebook profile or business page or other social media.*
Note: failure to include this information could delay the acceptance of your application or be considered a cause for rejection. If you do not have a business page, you may include your personal Facebook profile even if we are going to be paying your business. If you do not have either a Facebook personal profile or a Facebook business page, an alternate option will present.
Have you ever grown your contact database by purchasing a list of names/emails?*
Please let us know, using as much space as you like, why you are interested in becoming an affiliate partner:*
Section 3: Payee Information
Are you required to file a U.S. tax return with the Internal Revenue Service (IRS)*
Your PayPal Email Address*
Your commission payments will be deposited into your PayPal account associated with the email address you enter here. We cover PayPal fees and you will receive your full commission with no deductions. Note: We do NOT accept “PayPal.me” as the PayPal email address.
Confirm Your PayPal Email Address*
Please type carefully to avoid errors that could delay or misroute your payment.
4. Create your School Username

You'll be able to access your affiliate dashboard by first creating a username.
Create your username below.
8 character minimum
*Important* Write your username down in a safe place.

After your application is approved, you will receive an email to set your password.
5. Affiliate Agreement
CLICK HERE to read the Affiliate Aggreement.
Check here to affirm that you have read and agree to the terms and conditions found in the Affiliate Agreement*
6. Submit
By submitting this application and upon approval, you agree to receive email communications regarding promotions and related opportunities from us. Submission of this form will NOT add your email address to our general subscription list. However, if you are already receiving emails from our other subscriptions, you will continue to do so.
Please verify that you are human*
Should be Empty:

Join us as a Lucidity Continuing Education Affiliate Partner

Section 1: Your Information

Section 2: Account Validation

Section 3: Payee Information

4. Create your School Username

5. Affiliate Agreement

6. Submit