Practitioner Application – Integrative Therapy Association

Apply for Certified Integrative Therapist Credential

This application is part one of the process to become a CIT. Once completing this form, a credentialing advisor will reach out to you to complete the remaining steps for certification.

Full name

Phone number

Date of Birth

State of Residence

Educational Information

What stage are you applying for?

Where have you/will you complete your secondary education?

When will your secondary education be completed?

Do you have a supervisor?

Yes No, not yet.

Complete Your Application

I certify that all the information I submit as a part of this application, and future submissions are truthful accounts of my education status.

I agree to terms and conditions