Register for "Certified Educator in Mindful Resilience for Youth" Program

Register for "Certified Educator in Mindful Resilience for Youth" Program

* Required fields
Name *
E-mail Address *
What is your telephone number? *
What is your mailing address? Please include zip code and country. *
Please choose your program start date. *	To Be Announced
Please share brief details about your background and experience as an educator. *
What inspired you to register for this program? *
Please type in your name exactly like you want it to appear on your certification. *
How do you plan on using your certification? *
I agree to follow the ethical and professional guidelines of The CASE Institute. *	Yes No
I agree that I don't have a history of unprofessional or unethical behavior that would interfere with me being certified. *	Yes No
Please provide any additional information we may need to know.
How did you hear about us? *
Please type in your name and today's date to state that you agree with what is marked on this enrollment form. Once you submit this form please proceed to the Checkout/Make Payment page to complete your payment. We will electronically receive this form, and you will be sent your welcome email within 24 hours. We strive to provide you the information within a few hours (excluding after business hours, holidays or weekends, then it will be the next business day). Thank you! *
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