Application for Enrollment

This Application is only for live classes at the Academy Campus in Sausalito.

For those interested in distance learning, the Academy of Intuition Medicine® Online (AIMO) offers 12 distance learning Modules that follow the entire Academy campus program from start to completion. You can take one course, or go through the entire curriculum. 

Please note: this is a multiple page form. If you wish to modify an answer on a previous page, do NOT reload the page in your browser, as that will clear the contents of the form. Instead, use the 'Previous' button at the bottom of the page.

Before beginning this form, have a headshot of yourself available for upload when prompted on page 2 of this application form. The photo must be a .JPG or .PNG, 3 megabytes (MB) maximum size.

After submitting this form you will be redirected to a page that outlines the next steps which include mandatory attendance of an Academy Open House/Orientation (via Zoom or in-person). Completion of this application does not automatically enroll you in a class.

All classes take place at the Academy of Intuition Medicine® in Sausalito, California, USA.

Application for Enrollment ('Live' multipage form)

Student information

Address *
Address
City
State/Province
Zip/Postal

Course Attendance

Are you enrolling in the live Sausalito campus classes? *
Will you be attending the live Sausalito classes in-person or via Zoom? *
Please stop filling this form out if you’re interested in online course study. The Academy of Intuition Medicine® Online (AIMO) offers 12 distance learning Modules that follow the entire Academy campus program from start to completion.
Have you attended an Academy Orientation (a requirement)? *
Attendance was via *

Course selections

No prerequisites for Intuition Medicine: Healing I. All other courses have prerequisites (after filling out this form, see Courses & Programs page). Completion of all three Core Courses above is required for application to the Master Certification in Intuition Medicine® (MIM) Program.

General