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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:
(Required.)
Name
Email Address
Phone Number
*
2.
When did you participate in the last Practicum?
(Required.)
*
3.
What are your goals, intentions, or interests in this year’s Practicum?
(Required.)
*
4.
Have you participated in, or are currently participating in, group mentoring sessions? If so, about how many times?
(Required.)
*
5.
Have you participated in, or are you currently participating in personal mentoring sessions? If so, with whom and about how may times?
(Required.)
*
6.
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.
(Required.)
*
7.
Are you available to participate weekly 9 am-12 noon PT, in the January 16 - April 10th, 2026, Practicum?
(Required.)
Yes
No
8.
What do you need from us in order for you to take your next step in furthering your training?
Current Progress,
0 of 8 answered