RESET Practitioner Application Form

Please answer the following questions. Your responses will be reviewed by the World Doctor team and will remain confidential. It's essential to provide honest answers to help determine if RESET PRACTITIONERS TRAINING aligns with your needs. Thank you.

First name

Last name

Business name

Phone

Personal Growth Work Participation:

Please list any personal growth work you have participated in, including therapy groups, spiritual retreats, and individual therapy sessions. Include details such as the duration and nature of the programs

Skills and Qualifications - Academic:

Please list your academic qualifications, including degrees, certifications, and any relevant courses completed

Skills and Qualifications - Holistic:

Outline your holistic skills and qualifications, encompassing areas such as alternative therapies, mindfulness practices, coaching certifications, etc. Provide details on any specialised training or expertise.

Opportunity to Showcase an Offering:

Given our commitment to fostering collaborative methods for healing and growth, we extend an invitation for individuals with specialised expertise to contribute their practices during our training sessions. Are there any somatic offerings, spanning yoga, meditation, sound therapy, breathwork, or other modalities, within a 1-2 hour timeframe, that you believe would be valuable additions to the RESET Practitioner Training?

Medical Conditions:

Do you currently have any medical conditions? If yes, please specify.

Mental Health Diagnosis:

Have you been diagnosed with any mental health conditions? If yes, please specify the diagnosis(es).

Reason for Attendance:

Briefly write about why you want to attend the RESET Practitioners Training and what you hope to achieve from it?

Please be advised that this correspondence does not constitute confirmation of your attendance. Following the review of your application, we will communicate the outcome, which may involve the possibility of an interview with Dr. Mario Alam. Should your application be successful, you will receive by email a formal invitation to participate in the upcoming RESET Practitioners Training, along with detailed payment instructions to secure your position in the programme.

I affirm that all the information furnished in this application is accurate and truthful to the best of my knowledge. The World Doctor team is relying on this information to determine my acceptance into the RESET PRACTITIONERS TRAINING.

WORLD DOCTOR

RESET Practitioner Application Form