Digital Consulting and Education Practice Development Intensive

Digital Consulting and Education Practice Development Intensive

Program Interest and Application Form
Name*

First NameLast Name
Best Email for Program Communications and Updates*
example@example.com
Which of the following describes you? (select all that apply)*

I have an advanced medical degree or practice as a healthcare professional (e.g. MD, DO, PharmD, PA, NP etc)I am a mental health professional or psychedelic facilitator although do not have an advanced medical degree (e.g. therapist, psychologist, social worker, licensed psychedelic guide)I am currently part of the Spirit Pharmacist Member Resource and Support Program or I've completed/enrolled in the Psychedelic Screener MastermindNone of the above describe me
Describe yourself in the context of why you want to join this program?*
Do you currently have a website or existing digital consulting or education practice? If so, what do you most need help with or how do you see this program in helping to grow or develop your site or practice?*
I understand that there is no attendance 'requirements' for the program although have reviewed the syllabus and could commit to being available most of the times that live sessions are planned*

Yes, I'm available Thursday evenings and have reviewed the syllabus calendarNo, I'm not available Thursday evenings but I plan to watch all recordingsI'm not sure if I'm available at those times or haven't reviewed the syllabus calendar
I understand that the Digital Consulting and Education Digital Practice Development intensive is a niche and boutique program that aims to help professional begin a digital practice. It is not for persons that want to build or scale corporations, people with no existing or marketable professional skillsets, or those that are uncomfortable/paralyzed by taking action*

Yes, I understand the program is about building a digital practiceSeriously?! I thought it was a training program for anyone to build a website
I have reviewed the program syllabus including the section on 'Disclaimers,Program Terms & Participation Agreement'. I agree to the policy regarding program enrollment, refunds, confidentiality and handling of IP, as well as expected behavior*

I have read through it and happily agreeI read through it but have some concernsI've not read through it
I understand that enrollment in the program provides me with access to the instructor for Q&A during the scheduled sessions. I understand the instructor is not able to provide support in developing your digital practice via asynchronous messaging although I can obtain further individualized support by arranging private coaching sessions with the program instructor*

Yes, I understand and agree to thatWhat? The program and instructor can't provide me email support to develop my practice, I'm out!
I am ready to use the guidance provided in this program and take initiative to implement the steps I will need to take to build my digital consulting or education practice*

Yes, I feel motivated and ready for thatI'm ready to hear the guidance but not take action in building the practice quite yetOther
If accepted into the program I plan on opting in to the 6 x 1-hour private coaching package alongside the practice intensive*

Yes, I would want to opt-in to thatNo, I already know I don't want to opt-in that thatI'm not sure
Is there questions you have or anything else you would like to communicate about your application to participate in the Digital Consulting and Education Practice Development Intensive?
Should be Empty: