Registration Request
Welcome to the PSYK-ed Application Process. It is designed to be comprehensive to enable selection of participants who will grow from the training and have it inform their practices. Your responses are held in full confidence.
Eligible Applicants for KAP Training Programs
Only Professionals or those nearing licensure may apply to the PSYK-ed program if they hold advanced degrees, a license, or ordinations– in one of the following fields:
- Physician and Psychiatrist – MDS, DOs
- Licensed Professional Clinical Counselor –LPCC
- Marriage and Family Therapist–LMFT
- Licensed Clinical Social Worker (LCSW)
- Registered Nurse– RN
- Nurse Practitioner—FNP, NP
- Naturopathic Doctor– ND
- Ordained Clergy and Commissioned Chaplains
- Physician Assistant–PA
- Clinical and Counseling Psychologist—PhD
- Hospice Staff with appropriate training and credentials–EX. CPE units.
At times, we accept those without these licenses because of their unique experience, interest and contributions to the field.
Eligible Applicants for PSP Retreat Programs
Confidential Personal and Medical Information
It is essential that we be aware of any medical conditions, medications, supplements, life experiences or habits that can influence your experience. Our interest is in helping you have a safe and beneficial experience. Please fill out the personal information application as completely as possible. Once you submit your application, our logistics coordinator will email the medical information form and assist you in completing the application process.
Fees/Deposits