Application for IRI Practice Course

 

Thank you for your interest in applying Integral Recovery to your recovery journey.

Please complete the application below. We will review and let you know within one business day if you are approved or if we need additional information.

And, please feel free to contact us if you have questions:

info@integralrecoveryinstitute.com 

 


 

Integral Recovery Practice Course

Application Form

 (The information you share will be kept confidential.)

Date

First Name

Last Name

_______________________________________

 Please give a brief history of your addiction process. Include dates, drugs/alcohol/compulsive processes used.

 

Are you currently in recovery? If so, for how long?

 

What kind of support do you have in your life? (Sponsor, family, spiritual, psychotherapy, etc)

 

If you are actively using or acting compulsively,

 

 

Goals for completing this course

How do you intend to apply what you have learned? In what context?

 

 


 A hero ventures forth from the world of common day into a region of supernatural wonder: fabulous forces are there encountered and a decisive victory is won: the hero comes back from this mysterious adventure with the power to bestow boons on his fellow man.

~ Joseph Campbell