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ISEE Application Form

Please make sure to complete all fields and pay special attention to your full address.

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Question 1 of 20

Full Name

 

Question 2 of 20

Email

 

Question 3 of 20

Full Address (Street, Country, and City or Town or Province, etc).

 

Question 4 of 20

Mobile Phone: (If you are outside the USA please include the country code)

 

Question 5 of 20

Pronouns (they/them, she/her, he/him, ______)

 

Question 6 of 20

Program you're applying for:

 

A

Holistic Sex Educator

B

Holistic Sex Therapy/Counselor

C

I am unsure

Question 7 of 20

Are you seeking AASECT Accreditation (US, Canada, Mexico, Puerto Rico, Israel)?

 

A

Yes

B

No

C

I haven't decided

Question 8 of 20

The program includes: Live-Streaming Webinars, Recorded Webinars, and Take-Home Classes

 

A

Read

Question 9 of 20

Degree Level:

 

A

High School, GED

B

AA or AS

C

BA or BS

D

MA or MS

E

EdD, PsyD, PhD/Doctoral

F

Other

Question 10 of 20

School and Field of Study

 

Question 11 of 20

What are your goals? What do you hope to get out of the ISEE program? (Please be thorough)

 

Question 12 of 20

Other Relevant Experience in Human Sexuality or is there anything else you would like us to know about you?

 

Question 13 of 20

I can confirm that I have watched the "ISEE Program Information" video. 

 

If you have not already watched the video, please do so by going to the web address below. 

 

https://www.youtube.com/watch?v=yBtoD6Ct3eU

 

(Select all that apply)
A

Yes

Question 14 of 20

ISEE offers $250 to BIPOC (Black, Indigenous, and/or People of Color) people in particular need. If you are applying for the partial scholarship, please tell us a bit about why you are applying and what you would do with your certification when it is complete.

 

Question 15 of 20

Do you have any ability needs that we need to know about?

 

Question 16 of 20

Do you have reliable wifi/internet for streaming live webinars that will be 3 or more hours in a day? Streaming webinars are typically held between the hours of 11 AM and 7 PM Eastern Time (US).

 

A

Yes

B

No

Question 17 of 20

Do you have reliable access to a laptop or other device (not a phone) to watch recorded and streaming webinars?

 

A

Yes

B

No

Question 18 of 20

How comfortable are you with Zoom technology?

 

A

I am new to Zoom

B

I know the basics

C

I am a Zoomspert

Question 19 of 20

May we add you to our mailing list?

 

A

Yes

B

No

Question 20 of 20

How did you hear about ISEE?

 

Confirm and Submit