PRE-QUALIFYING APPLICATION

Integrative Wellness Academy

Genvièv St. Clair® • CORE NRG RESET™

Professional Certification • Neuroscience • Forensic Regression • Clinical Hypnotherapy

Thank you for your interest in our Integrative Wellness Academy. We carefully select our students to maintain standards of professional excellence. Please complete the following questions to help us evaluate your candidacy.

Full Name

Email Address

Phone Number

What is your current professional background? (e.g., medical, psychology, coaching, other)

Which certification track are you applying for?

NGH Professional Certification + CORE NRG RESET™ Professional Specialization (Live mentorship with Genvièv all the way to graduation)

NGH Professional Certification (Self-Paced Track)

I’m not sure yet — I’d like guidance

Why are you interested in this program? What do you hope to achieve?

Have you previously invested in professional development, academic, or certification programs? If yes, approximately how much?

No, this would be my first

Yes, $1,000 – $5,000

Yes, $5,000 – $10,000

Yes, $10,000+

How soon are you looking to get started?

Immediately

Within the next 30 days

Within the next 2–3 months

Are you the sole decision-maker for this investment, or do you need to consult someone else?

I am the sole decision-maker

I need to discuss with a partner/spouse

I need employer approval

How did you find out about Genvièv St. Clair?

Is there anything specific you’d like to discuss during your Academic Interview?

Certification tracks begin at $2,997. The first step is an Academic Interview ($100 credited toward tuition if accepted). Please confirm your understanding of this investment structure.

I understand that the Academic Interview is $100 (credited toward tuition) and that certification tracks begin at $2,997

Once your application is reviewed, you will be contacted to schedule your interview.
We look forward to learning more about you.

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