Be a Better Therapist Course - Level 2

Thank you for your interest in the Be a Better Therapist Course - Level 2. The following questions will help determine if you are currently an appropriate candidate for the psychoeducational course(s).

Basic Information

NameEmail AddressPhone/Cell NumberWebsiteBirthdayMailing Address

2. How many years have you been practicing?

3. What is your highest level of education and what degrees have you obtained?

4. Are you currently a licensed mental health professional?
‍Please list any relevant licenses, credentials, levels and/or titles.

5. If you are seeking to earn CE credits offered by the American Psychological Association (APA), please provide name and license number as it should appear on your Continuing Education (CE) Certificate.

6. Briefly describe your personal motivation for participation in the course:

7. How did you hear about the Be a Better Therapist Course?

8. Do you require any special accommodations to access and/or participate in online courses?

The Institute for Sexual Health, a psychology corporation, is approved by the American Psychological Association to sponsor continuing education for psychologists. ISH maintains responsibility for this program and its content.

ISH does not credential professionals nor offer title designations and assumes no responsibility for any personal and professional conduct, competence, or ability to apply these teachings. Please see our FAQs for more information.

ISH is committed to providing our learners with unbiased information and never accepts commercial support.

Your initial below indicates that you understand and accept the stated conditions.

A man holds his hands over his heart in a loving gesture

Thank you for your interest in the Professional Course!

We're reviewing your application.
Please look for an email from info@minwallamodel.com within five business days for information regarding completing your registration.

Oops! Something went wrong while submitting the form.