Application Form

ABMNM® 2024 Basic Training Application Form

The Email Address MUST be the email of the student who will attend the training. This will become your login username, so ALWAYS use the same email for all payments and correspondence relating to this training program.

First name

Last name

Billing Address

Mobile Phone

Birthday

Occupation

Referred By

Education List

Primary Reason For Applying

To become an ABMNM® Practitioner

For personal reasons

Which location are you applying to?

North Carolina, US

Barneveld, The Netherlands

The training will take place if the minimum requirement of attendees is met in each location.

For the following essay questions, please give complete answers. 1 or 2 sentence answers may not be considered a complete application.

Goals For Professional Development

Goals For Personal Development

In what areas of life do you feel effective, successful and gratified?

In what areas would you like to increase your skills and effectiveness?

Special interests

State your experience, if any, with movement learning methods and alternative approaches

Identify any condition that might effect your ability to participate fully in this professional training. For example: orthopedic problems, respiratory difficulty, chronic pain, physical disability, chemical dependence or intolerance, psychiatric disorders or other conditions.

Do you have a child with special needs? If so, please fill out the fields below.

Name of child

Child gender

Child age

Child diagnosis

Please upload a recent photo of yourself.

Upload A Photo of Yourself

Please fill in the field below to indicate your agreement to the Devinim Terms of Use & Privacy Policy.

I accept terms & conditions

Your Signature

First Name/Last Name

Date of signature

The 'Submit Application' button will become active only when all fields are filled and your photo uploaded.

Thank you.

NOTE: Applications will be reviewed in order received, after we have received your application fee.

We may request a phone or video interview. You will be notified of the status of your application within 30 days.

If you are accepted, a 650 USD deposit is due immediately to reserve your space in the training.

If you have any questions, or need additional information, please email abmnminfo@devinim.ist

CLICK HERE TO PAY THE APPLICATION FEE

Thank you! We’ll be in touch.