EIM Professional Diploma Application

EIM Professional Diploma Application

Cohort Start Date: September 2026 (Applications reviewed on a rolling basis. Class size strictly limited.)
Section 1: Contact & Professional Background
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
City, Country of Residence*
What is your primary profession?*
How many years have you been practicing professionally?*
Briefly describe your current practice setting (e.g., luxury spa, private clinic, mobile, etc.)*
Section 2: Program Enrollment & Track Selection
Which EIM Professional Diploma Track are you applying for?*

Track A: The Integrative Facial Diploma (Focus: Aesthetics, TMJ, Skin Health)Track B: The Integrative Therapeutic Diploma (Focus: Pain, Mobility, Systemic Function)Both: The Double Major (Seeking both certifications)
Which of the following EIM trainings have you already completed or purchased?*

I have not completed any prior EIM trainingI have completed the EIM Facial or Therapeutic (Health and Wellness) Online CourseI have completed a qualifying EIM Facial or Therapeutic (Health and Wellness) Live ImmersionI have completed one Live Immersion but am applying for the other track
Section 3: Commitment & Vision
The Diploma requires 3-5 hours of dedicated study and practice per week for 12 months. Do you confirm you can commit to this time investment?*

Yes, I fully commit to the 12-month schedule.I will need to clarify my schedule commitment with the team.
Why are you applying for the EIM Professional Diploma?
(Please describe your goal for this year and how you plan to use this advanced knowledge to transform your practice.)
I have read and understood the Deposit Policy and the tuition corresponding to my chosen scenario.
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EIM Professional Diploma Application

Section 1: Contact & Professional Background

Section 2: Program Enrollment & Track Selection

Section 3: Commitment & Vision