Initial ICST-P Application and Payment

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
State License Number*
Highest Level of Education*
Concentration Area for Graduation*
Completion Date of ICST-P Training*
MM slash DD slash YYYY
Date of Approved ICST Application*
MM slash DD slash YYYY
ICST Number*
Sandtray Training Business Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Short 3-4 Sentence Description of Your Training Center or Style of Training (will be included on the website)*
Website of Business*
Name and Number of Trainer/Teacher Malpractice Insurance Coverage*
Upload Copy of Certificate*
Max. file size: 7 MB.

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