Neurogenic Integration - TRE Certification Application

TRE Certification Application
Thank you for your interest in the Neurogenic Integration Online TRE® Certification Training!

Please take some time to fill out the following information. We will follow up within 2 business days to confirm your acceptance and the next steps to get started.

Warmly,

Alex Greene & Siv Jøssang Shields
Name*

First NameLast Name
Phone Number (Including Country Code - e.g. (+1) 555-555-5555)*
Email*
example@example.com
Date Of Birth*

MonthDayYear
Date
Address*
City/Country*
Emergency Contact (Name, relationship, phone number)*
What is your Primary Language?*
What additional languages are you proficient in?*
What is your present occupation?*
Have you done TRE before? Please describe your history with it.*
What are your goals with seeking TRE® certification?*
Please upload a CV/resumé that documents your educational/professional experience.

.pdf .doc or .docx accepted
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Do you have any physical limitations we should be aware of that might be relevant to practicing TRE?*
Do you have any trauma or mental health history that might be relevant to the practice of TRE?*
Do you have any special needs or requests for how we approach your training?*
If you have an existing serious physical or mental health condition or are on medication, we recommend that you speak with your doctor before taking this class/workshop. This course is not intended to diagnose, treat, cure or prevent any disease. Medical advice must only be obtained from a physician or qualified health practitioner.
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