Affiliate Partner Application

Join us as an Affiliate Partner

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

Our continuing education (CE) content is co-sponsored by Mindful Lucid Dreaming, our event host, and Lucidity Sleep Psychiatry, a sponsor accredited to provide continuing education for psychologists by the American Psychological Association (APA). Through our programs, you can earn CE credits that are essential for licensure and continuing professional development (CPD).

As an Affiliate, you will help bring accredited trainings to mental health professionals 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! Fill out the brief application below. Then, we will provide all the tools you need to promote our offerings, including access to an affiliate dashboard, media materials, and exclusive coupon codes to incentivize your audience.

Questions? Email Kristen at info@mindfulluciddreaming.com
Affiliate Application
Today's Date*

MonthDayYear
Date
Your 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 Affiliate account owner.Tick here if you are filling this out on behalf of the Affiliate account owner
Your name (Who completed this form?)*

First NameLast Name
Your role in the company (Select all that apply)*

Affiliate ManagerAdministrative Assistant at the companyCompany owner or co-ownerOther
Email of the person submitting this form*
Confirm the email of the person submitting this form*
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
Write the mailing address of the Affiliate Account Holder below
Include street address, apartment/unit/suite, city/town/village, state/province/region, and postal/zip code
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: Excluding 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:
How will you promote our programs?
Section 3: Payee Information
Are you required to file a U.S. tax return with the Internal Revenue Service (IRS)*
PayPal Email Address of Affiliate Account Owner (Who will be receiving the Affiliate payments?)*
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 PayPal Email Address of Affiliate Account Owner*
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. Write down your username for safekeeping. You will need it to access the Affiliate dashboard.
*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 occasional 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 an Affiliate Partner

Affiliate Application

Section 1: Your Information

Section 2: Account Validation

Section 3: Payee Information

4. Create your School Username

5. Affiliate Agreement

6. Submit