Application

Interested in joining the 2025 Mentorship & Consultation Group? Please complete the form below and we will be in touch shortly! We look forward to connecting with you.

Name

First Name

Last Name

Pronouns

Phone

(###)

###

####

What are your degrees/credentials/licenses?

Please share about the areas of specialized training you have already completed.

Example: Attachment, Trauma, etc.

Do you currently work with couples?

What draws you to this training?

Should you choose to disclose, please list anything that could impact your experience with and accessibility to this program (E.g., neuro-divergence, health issues, disabilities, impairments).

What other courses, if any, have you taken on Mindful Compassionate Dialogue?

Message

If accepted, we ask that you pay a deposit of $100. This payment can be made via cash, check, or credit card. Payment in full is to be made March 7th, 2025.

Please Note: MCD Therapy holds a non-discrimination policy. Limiting participation on the basis of gender, race, creed, national origin, sexual orientation, religion, age, organizational membership, or any other basis is prohibited by law and does not meet our needs for inclusion.

Application

Ava Frank, LPC. CMCDT. CHT.