Creative Grief Support Certification Application Form

Please check below that you understand you need to give fulsome responses to each question that thoroughly cover your skills and experience in order to have your application considered.*

Yes, I understand that I need to give more than one word or one sentence answers to the questions below asking about experience and skills.

Name*

First Last

What are your pronouns? (ie, they/them, she/her, he/him, ze/zir, etc)

Your e-mail address*

Please note that email addresses from yahoo.com, aol.com and hotmail.com often are problematic, so if you want to ensure that you receive our response, please provide an alternative email address and/ or the url for your Facebook profile.

Your website URL (if you have one)

Your phone number*

Please tell us what number to dial, including any country or local codes, to text you if you are international / outside the US!

Your city of residence*

Your state or province of residence*

Your country (not county) of residence*

Your year of birth

Which class are you applying for?*

Spring 2025 [Feb 25 to Jun 12]
Fall 2025 [Aug 26 to Dec 11]

Please tell us what personal experiences you've had with loss and grief in your own life. Also, tell us more about how you came to this desire to work more closely with people who are dying/grieving? What has grief meant to you in your own life? How have you coped?*

What training have you had that covers the basics of being a helping professional, e.g., listening skills, interviewing skills, rapport-building, professional boundaries, etc.? Where did you receive that training (name of the program, college, organization, conference, etc.)?*

What experience do you have working as a helping professional? You may include both volunteer and paid experience. Please include any experience working with the bereaved or in any other related arena. Where did you get this experience (name of organization, hospice, hospital, funeral home, workplace, church, etc.)? Describe the communities you have supported.*

NOTE: Even if you have never worked as a helping professional, please tell us what experience and training you have had in your jobs or volunteer work that may be transferable to becoming a helping professional.

Why do you want to take this Certification in Creative Grief Support?*

What is your vision for how you'll use this certification in your life and work? In other words, how, in what setting and with whom do you foresee using the tools you learn in this program?*

How did you find out about this program? If someone referred you, please provide their name and email address so we can thank them personally and/or if you have a referral code, enter it here.*

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Our pricing structure reflects others created by Reverend angel Kyodo Williams to support the sharing of community abundance. Through her inspiration, we are pleased to offer a scaled pricing structure for this program. We offer three options for our in-depth 4-month certification program, rather than one fixed price. This structure makes it possible for more people to access the program, supported by the community and those who have access to more resources. Please choose the option that feels appropriate to your personal and professional circumstances. (Descriptions below.)*

Investment Access - $3,450 USD total
Supported Access - $2,475 USD total
Sponsored Access - $1,999 USD total (limit 3 per session)

1) Investment Access - For those with the personal and/or professional financial resources to afford the program and a desire to support access for others to help rebalance systemic inequity. 2) Supported Access - For those with some personal and/or professional financial resources who can pay a fair value for the experience. This is our partially subsidized price. 3) Sponsored Access - For those with limited financial resources who will benefit from access supplemented by the community. This is our fully subsidized price for those in need of deeper financial assistance. (We are currently limited to 3 participants per session at this level.)

Our pricing structure reflects others created by Reverend angel Kyodo Williams to support the sharing of community abundance. Through her inspiration, we are pleased to offer a scaled pricing structure for this program. We offer three options for our in-depth 4-month certification program, rather than one fixed price. This structure makes it possible for more people to access the program - especially those who have historically been underrepresented in the field or who support underrepresented/marginalized people - supported by the community and those who have access to more resources. Please choose the option that feels appropriate to your personal and professional circumstances. (Descriptions below.)*

Investment Access - $3,450 USD total
Supported Access - $2,475 USD total
Sponsored Access - $1,999 USD total (limit 3 per session) [NOTE: Spots still open for Fall 2024 + Spring 2025]]

1) Investment Access - For those with the personal and/or professional financial resources to afford the program and a desire to support access for others to help rebalance systemic inequity. 2) Supported Access - For those with some personal and/or professional financial resources who can pay a fair value for the experience. This is our partially subsidized price. 3) Sponsored Access - For those with limited financial resources who will benefit from access supplemented by the community. This is our fully subsidized price intended for those in need of deeper financial assistance, who have historically been underrepresented in the field or who support those who are underrepresented. Historically marginalized groups may include such characteristics as race, ethnicity, geography, gender, age, religion, ability and sexual orientation. (We are currently limited to 3 participants per session at this level.)

After the initial $500 USD non-refundable deposit, the remaining balance may be paid in one lump sum, or in interest-free monthly installments. If you are accepted to the program, which payment plan do you prefer?*

One full payment
Two installments
Three installments
Four installments

We want to be sure applicants have fully read about the program, including pricing, dates, and other important information. Please confirm that you've read through all the pages in the Certification Program section on our site and have read the following completely:*

Dates / times of the session for which you are applying

The pricing information including that there is a non-refundable deposit

At the Creative Grief Studio we know you'll be working with vulnerable clients as a grief support practitioner, and we take integrity and ethical practice very seriously. We do our best to accept only high integrity participants into this course so that all practitioners associated with our brand can both contribute to and enjoy the benefits of an organization that is well-known as highly ethical. By submitting this application, you agree to the statement below. By checking the box, you indicate your understanding of the following:*

I confirm that everything I've written in this application is a true reflection of me and my experience and training. I have not provided any false information. I understand that the Creative Grief Studio will run a Google search for my name to find out what information is publicly available about me on the internet, in order to confirm that I am a good fit for the course and I have a high integrity public image.

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