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Name
First Name
Last Name
Suffix
(e.g., Jr, III)
Nickname
Gender/Pronouns
select one
Male
He/him/his
Female
She/her/hers
They/them/theirs
Preferred Email
*
Verify Email
*
Email Type
select one
Home
Work
Subscribe
I consent to receiving periodic email messages from the Foundation.
Subscribed
Preferred Mailing Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Preferred Phone
Phone Type
select one
Cell
Home
Work
Employer
Including practice, business or academic institution
Job Title
Website
Provide URL for professional/personal site
Profession Tags
Please indicate your general field of practice and/or IFS training. Select multiple tags as necessary. Please enter specific job titles under employment information.
Coach-Business
Coach-Life
Educator-K-12
Educator-Higher
Financial Services
Fine/Performing Arts
IFS Certified Practitioner
IFS Trained Practitioner
Lawyer/Mediator
Mental Health Professional
Medical Professional
Religious/Spiritual Leader
Researcher-Medical
Researcher-Social Sciences
Student
Other
Other: Please provide 1-2 word description if no category applies.
Graduate Degrees / Professional Licenses
Select all that apply
DO
JD
LCSW
LDN
LICSW
LMFT
LPC
MA
MBA
MD
MDiv
MS
MSW
NCC
PhD
PsyD
RN
RD
Other
Other Degree/License (not already listed):
Programs of Interest
IFS Research
IFS in Schools
IFS for Veterans
Leadership Fellows
IFS in Business
IFS in Law
IFS in Finance
IFS in Medicine
Volunteer Interest
With no full-time staff, the Foundation relies on volunteers for key operational functions.
Social Media contributor
Photo/video contributor
Administrative support
Event coordination
