Heroic Hearts Process Training Program ApplicationA Veteran-Focused Psychedelic Coach & Facilitator Certification

Area of Interest

Are you interested in becoming a Heroic Hearts Process Certified:

Integration Coach (Pathway I only)Integration Coach and Psychedelic Facilitator (Pathways I and II)

Which of the following Cohorts are you interested in?

Cohort 1: February 16th - July 19th, 2026Cohort 2: June 8th - November 9th, 2026Select all that apply

Personal Details

First Name

Last Name

Birthdate

mm/dd/yyyy

Gender

Email

Phone

ex. 123-456-1234

Do you identify with any of these shared experience groups?

Note: BIPOC is an abbreviation for "Black, Indigenous, People of Color."

Are you a member of the Heroic Hearts Project/ Hope Project Alumni?

Please provide the details of your Heroic Hearts Project or Hope Project program (when, where, medicines used) and coach (First & Last name).

Address

Street

City

State/Province

Zip/Postal Code

Country

Professional Experience

Please upload your resume

Do you have any psychedelic integration coaching certifications or training?

Yes No

Please provide further details of your integration coaching certification(s) to include when, where, and the training institution.

Please describe your psychedelic integration coaching experience to include number of years and/or sessions, and which psychedelic types.

Do you have any psychedelic facilitation certifications or training?

Yes No

Please provide further details of your facilitator training (when, where, training institution)

Do you currently hold a Psychedelic Facilitator License in any U.S. state?

Yes - in ColoradoYes - in OregonYes - in any other stateNo

Please enter your Oregon Facilitator License Number

Please enter your Colorado Facilitator License Number

Please enter your Oregon Workers Permit Number

Please enter your Colorado Workers Permit Number

Please describe your psychedelic facilitation experience to include number of years and/or sessions, and which psychedelic types..

Please select the highest level of education you've completed:

Please provide details of three references that we can speak about your experience or potential to do psychedelic integration coaching or facilitation. (First & Last Name, Position/ Title, Email Address, Phone Number, How you know this person)

Tell us a little more about yourself to include details about your personal growth, transformation story, experience with psychedelics and other forms of healing.

Personal Reflection Questions

Why do you want to become a certified professional through the Heroic Hearts Process training?

Think of someone you’ve judged harshly in the past. What did your judgment of them reveal about you?

What kind of client would be hardest for you to work with and why?

What are the top 3 experiences in your life that have led to your greatest growth?

Name a personal bias or pattern you’ve noticed in yourself that could interfere with your effectiveness as a coach. How might you recognize when it’s showing up, and what steps will you take to stay grounded and responsive in those moments?

Describe a time you felt genuinely supported by a practitioner. This could be a coach, facilitator, therapist, or medical provider. What qualities or actions made that experience positive for you?

Emotional Intelligence Test

1. I know when to speak about my personal problems to others