Second and Third Year Practicum Application

If you would like to join the upcoming Practicum, please fill out this application.

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* 1. Contact Information:

Name

Email Address

Phone Number

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* 2. When did you participate in the last Practicum?

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* 3. What are your goals, intentions, or interests in this year’s Practicum?

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* 4. Have you participated in in-person trainings? If so, when?

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* 5. Have you participated in, or are currently participating in, group mentoring sessions? If so, about how many times?

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* 6. Have you participated in, or are you currently participating in personal mentoring sessions? If so, with whom and about how may times?

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* 7. Are you currently facilitating process painting or have you facilitated in the past? If so, give a brief explanation of your experience, including timeline, frequency, number of participants, and whether online or in person.

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* 8. Are you available to participate weekly 9 am-12 noon PT, in the January 16 - April 10th, 2026, Practicum?

Yes

No

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* 9. What do you need from us in order for you to take your next step in furthering your training?