IDDM Application

Integrated Daily Dialogic Mentorship™

PLEASE FILL OUT THE APPLICATION BELOW TO GET STARTED.

First Name *

Last Name *

Your Email *

Phone *

Do you prefer to speak with our Spanish speaking mentor? *

Select Yes or No

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How did you first hear about CatholicPsych? *

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What can we help you with? *

If You Could Change Anything About Your Life In The Next Six Months, What Would It Be? *

Why Do You Think You're Ready For Our Help At This Time? *

Consent *

18 or older

Under the age of 18

If you are under the age of 18, please add your parent/guardian name and email/phone

Have you had any recent thoughts of harming yourself or others? *

Mentor Tiers: All our mentors have been trained in a model developed by Dr. Greg Bottaro which stems from his extensive experience in psychology, philosophy, and spirituality. The tiers reflect the mentors’ experience with our new model and the number of clients they have worked with.

Training Directors have shown such mastery over the model that they are appointed to train other Mentors. They have the highest level of expertise and their availability is limited.

A Master Mentor is one who has satisfied an exemplary level of training, demonstrated the proficiency in the model to practice independently, and is proven to provide an expert level of care.

What level mentor would you like to work? with *

Training Director ($1,997/m)

Master Mentor ($1,497/m)

Interested in financial aid (The team will reach out to schedule a consultation call)

Terms *

I agree to utilize Emails and SMS Messages from The CatholicPsych Institute for related communication and agree to your Privacy Policy and Terms and Conditions.

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