Register for the 2023 Training Cohort Full Name* Email* Phone Number* This cohort is only for licensed clinicians or those working towards licensure. Are you:* Licensed Working towards licensure License Type*LMFTLCSWLPCCMDDOPhDPsyDNPRNBSNPAOtherCountry of Residence* Why do you want to join the training cohort? (2-3 sentences)*Have you attended Polaris Module 1?* Yes No Have you verified that you are able to attend each session?* Yes No United States participants only: Would you like to receive 41 CE credits for the additional $399 fee? (This is a flat fee - not discounted for those who have attended Module 1) Yes No OPTIONAL: Who were you referred by? Δ
