Neurogenic Integration - 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.

You can submit your application with no obligation. Payment is only required once you've been accepted and you decide to enroll.

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

Date

Address

City/Country

Emergency Contact (Name, relationship, phone number)

What is your Primary Language?

What additional languages are you proficient in?

How did you learn about the Neurogenic Integration TRE Certification?

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

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.