National Certification in the Field of Therapeutic Art

Online Application

The following information in this application shall be used to make sure this opportunity is a good fit for you.  All information will remain confidential, and not be disclosed to other individuals. All questions must be answered.. Any missing, illegible, or incomplete information may result in delaying the application review process. Thank you.

Applicant Information



EDUCATION & EXPERIENCE: Please check all that apply.
WORK SETTING: From the list below, please select the ONE category that best describes the primary focus of your working environment.

WORK EXPERIENCE: Describe your actual working experience, connection or knowledge with the special needs community or elderly?

CREATIVE EXPERIENCE: Do you enjoy doing crafts or have some experience with art? (Professional art training is not required)

Purpose & Goals

COMMITMENT: Are you willing to attend all scheduled online classes, complete your assignments, course survey and sign a service agreement?

PERSONAL STATEMENT: Describe your goals for taking this course and what does becoming  a Certified Art Practitioner mean for you?