Apply for the EIM™ Professional Diploma

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
Please use the email address you would like us to use for your application and programme access.
3
Phone Number
Country Code
Area Code
Phone Number
4
Country or Residence* This field is required.
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City of Residence* This field is required.
6
What is your primary profession?* This field is required.Select the profession that most closely reflects your current professional work.
Please Select
Please Select
Acupuncturist
Esthetician or facial therapist
Massage therapist
Manual therapist or bodyworker
Physiotherapist or physical therapist
Naturopath
Nurse
Medical doctor
Other qualified healthcare professional
Other
7
Please describe your profession.
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How many years have you been practicing professionally?* This field is required.
Please Select
Please Select
I am currently completing my professional training
Less than 1 year
1–3 years
4–7 years
8–15 years
More than 15 years
9
Please describe your relevant qualifications and professional training.* This field is required.Include the qualification, training provider and approximate year completed. You do not need to upload certificates at this stage.
10
Which statement best describes your current professional practice?* This field is required.
Please Select
I currently work with clients in private practice
I work in a clinic, spa or multidisciplinary setting
I provide mobile or home-based treatments
I am employed within a healthcare or wellness organisation
I am qualified but not currently practising
I am completing relevant professional training
Other
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Describe your current professional practice
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Is hands-on facial or therapeutic treatment within your current or intended professional scope?* This field is required.The Diploma does not grant a healthcare licence or expand your legal scope of practice. Applicants remain responsible for complying with the laws and professional requirements applicable in their country.
Please Select
Yes
I believe so, but I would like guidance
Not currently
I am unsure
13
Which Diploma pathway are you applying for?* This field is required.
EIM™ Integrative Facial Gua Sha Diploma — Dip. EIM (IF)
EIM™ Integrative Therapeutic Gua Sha Diploma — Dip. EIM (T)
Double Diploma — Facial and Therapeutic
I am unsure and would like guidance
14
Which previous EIM™ training have you completed or purchased?* This field is required.
I have not previously studied with EIM™
Facial Gua Sha online foundation course
Therapeutic Gua Sha online foundation course
Facial Gua Sha live certification or immersion
Therapeutic Gua Sha live certification or immersion
Other EIM™ course or training
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Please provide details of your previous EIM™ training.* This field is required.Include the course title, approximate completion date and live-training location, where applicable.
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What email address did you use when purchasing your previous EIM™ training?Leave blank if it is the same as the email address used in this application.
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The mentored programme requires approximately 3–5 hours of study, practice and casework during a typical week. Are you realistically able to make this commitment?* This field is required.
Yes
Probably, although I may occasionally need to use the recordings
I would like to discuss the time commitment before enrolling
No, not at present
18
The Diploma includes an eligible four-day live immersion. Depending on your previous EIM™ training, you may be required to attend one before completing the Diploma. Are you able to travel to an available immersion location?Travel, accommodation, meals, insurance and personal expenses are not included in tuition.
Yes
Yes, depending on the dates and location
I have already completed an eligible immersion in my chosen track
I need to discuss this requirement before enrolling
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Why are you applying for the EIM™ Professional Diploma?Please tell us what you would like to develop in your professional practice and why this is the right time for you to undertake the Diploma.
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What would you particularly like to develop during the program?
Greater technical precision
Assessment and treatment planning
Confidence adapting treatments
Facial specialisation
Therapeutic specialisation
Case management
Professional positioning
Mentorship and feedback
Other
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What else would you like to develop?
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Is there anything that could affect your participation or that you would like us to consider?Please do not include medical information unless it is relevant and you are comfortable sharing it.
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Terms and Conditions* This field is required.
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