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

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2. When did you participate in the last Practicum? (Required.)

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

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4. Have you participated in, or are currently participating in, group mentoring sessions? If so, about how many times? (Required.)

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5. Have you participated in, or are you currently participating in personal mentoring sessions? If so, with whom and about how may times? (Required.)

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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.)

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

Yes

No

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