Application for Integral Recovery Practice Course


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

Please complete the application below. We will review and contact you within two business days to set up a phone/Skype interview.

And, please feel free to contact us if you have questions: info@​integral​recovery​institute​.com



Integral Recovery Practice Course

Application Form

 (The information you share will be kept confidential.)

    Today's Date

    Your Name

    Your Email

    What interests you about taking the IR Practice Course?

    Tell us a little about yourself (employment/school/interests, etc.)

    Goals for completing this course?

    Do you have any comments or questions?