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Five Archetypes Certified Relationships Facilitator Application
Five Archetypes Certified Relationships Facilitator Application
Full name
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Email address
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Phone number
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Location and time zone
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Please enter the link to your LinkedIn profile or to your professional website.
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Preferred way to contact you
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Tell us briefly about your current work. Who do you serve, what kind of support do you provide, and how long have you been practicing?
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What draws you to this certification now? What in the program’s philosophy, learning process, or intended outcomes feels most relevant to your work and development?
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What interests, or challenges, you about beginning with the consciousness of the practitioner? This certification begins by examining how the facilitator’s own constitution and conditioning affect perception, the relational field, and the change process.
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When you become activated, uncomfortable, or uncertain in a helping relationship, what do you currently do? There is no “right” answer. We are interested in your self-awareness, honesty, and willingness to reflect.
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What ongoing relationship might you be willing to use as your six-month learning laboratory? Please describe only the type of relationship and why it may be meaningful for your learning. Do not include the person’s name or private details here.
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What capacity would you most like to develop? For example: recognizing your primary lens sooner, regulating before acting, choosing from integrity, creating safer relational conditions, using the whole Five Elements wheel, or facilitating Relationship Reports.
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What do you hope will be different by the end of the six months? Consider both your professional practice and the relationship you will explore during the program.
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What do you hope will be different by the end of the six months? Consider both your professional practice and the relationship you will explore during the program.
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Is there anything that could affect your participation or any support or accommodation you would like us to know about?
Professional foundation: I am an experienced coach, therapist, or qualified healing practitioner with foundational training or experience in ethics, boundaries, scope of practice, and responsible client care.
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Yes
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Experiential participation: I understand that this certification requires personal reflection, feedback, practice, and the use of one meaningful relationship in my own life as a learning laboratory.
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Yes
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Time commitment: I can complete the required pre-work by October 8, 2026, and sincerely commit to the opening intensive, live sessions, practice pods, daily reflection, assignments, and certification demonstrations.
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Yes
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Credential and scope: I have read and accept the certification and professional-scope terms herein – 1) Level I and Level II are proprietary Five Archetypes designations, not ICF levels. 2) Attendance alone does not guarantee certification. Participants must demonstrate the required capacities, and additional practice or reassessment may be recommended. 3) Certification prepares practitioners to facilitate proprietary Five Archetypes Relationship Reports purchased from Carey Davidson. 4) Certification does not authorize practitioners to diagnose another person’s consciousness, guarantee another person’s response, claim to produce enlightenment, or independently create or modify the reports.
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Yes
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The Five Archetypes