Application For IR Coaching Course Level I

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

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@​integral​recovery​institute​.com


Integral Recovery Coaching Course Level I

Application Form

(The information you share will be kept confidential.)

    Today's Date

    Your Name

    Your Email

    What interests you about taking the IR Coaching Course?

    Please describe previous addiction counseling experience.

    Please describe degrees and qualifications.

    Current occupation/position, if within organization please specify.

    Goals for completing this course.

    How do you intend to apply what you have learned?

    Do you have any comments or questions?


    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