Practitioner App | Cognomovement

Practitioner Certification Program Application

First name

Phone

Last name

Have you finished your Cognomovement Essentials Course? Please note that Essentials is a prerequisite and your application will not be considered until you have completed it.

What made you interested in becoming a Cognomovement Practitioner?

Experience Summary: Are you certified in any other healing modalities? (Note: You do not have to have experience in other modalities to be considered for this program)

Are you looking to join this program for your own transformation, or working with clients?

Describe your level of familiarity with Cognomovement, how it works and the results you've achieved in your own life.

How many Cognomovement Events and which events, if any, have you attended?

Any additional info you would like us to know?

The Pratitioner Certification Program is a time and financial commitment. Are you willing and able to commit to the time and cost of this program?

Yes

Yes, with a payment plan.

Thanks for applying!
We’ll get back to you soon.