2023 act registration 
E543E672-D472-458E-B688-9053A0407D7A_edi

Unless noted as optional, all fields are required in order to submit your registration

IMPORTANT: Please don't leave this page while completing your registration, as your data will not be saved.

CCARE_Logo High Res.png

Section one - personal information

Section two - proffesional information

Section three - applied compassion capstone project

An essential part of the ACT training is an Applied Compassion Capstone Project that each participant will create, deliver, and report back on during the course of the Applied Compassion Training. 

 

Participants will begin designing and developing these projects right from the start of the program and will be required to deliver them by Summer 2023, reporting back to the faculty by October 2023. 

 

Fully completed Capstone Projects are a requirement in order to receive the certificate of completion from CCARE at Stanford by the culmination of the program (November 2023). 

Please consider if this is achievable for you at this time. If you're unable to fulfill these requirements, please postpone your registration to a future ACT program. 

CCARE_Logo High Res.png

Section four- act program requirements 

In addition to completing an Applied Compassion Capstone Project, your live (online) participation is an integral component of the ACT program.

 

A foundation of the ACT training are the experiential processes and practices of Applied Compassion. ACT is a highly-engaged community that comes together regularly in-person online over the  course of the 11-month program. 

 

The ACT program requirements include:

  • Live online participation at all three 3-day immersive retreats (January, July and November)

  • Live online participation at a smaller monthly mentoring group (you will be able to choose your monthly mentoring group day/time)

 

  • Participating in the monthly teaching module and monthly practice module (these modules can be completed live or through recordings)

  • Delivering an Applied Compassion Capstone Project

 

We recognize that for some participants, depending on timezone, attending three retreats in-person online may be challenging.

 

Due to the highly experiential and relational nature of compassion and the ACT program, it's important for each participant as well as the cohesion of the group, that people in ACT participate live.

 

In ACT, live participation is participating online free of distractions, interested and engaged with video cameras on.

If you're unable to fulfill these requirements at this time, please consider postponing your registration to a future ACT program. 

Section five- policies and waivers

Waiver of Liability

I accept full responsibility for my health and voluntarily complete this Acknowledgment and Waiver of Liability. I understand and agree that the services and tools offered by The Applied Compassion Training (ACT) Faculty at CCARE Stanford: Robert Cusick, Neelama Eyres, and Monica Hanson; and the Center for Compassion and Altruism Research and Education (CCARE), and Stanford University are not intended to replace or be substituted for medical or psychiatric care. 

 

The APPLIED COMPASSION TRAINING™ (ACT)  is not a therapeutic intervention for psycho-pathological disorders as defined in the DSM, and is not meant to be used as such. By completing this release and consent I assume all risk for any physical or mental consequences of participating in the course.

 

By signing this release I also specifically and expressly agree to hold harmless, indemnify and release the Applied Compassion Training Faculty: Robert Cusick, Neelama Eyres, Monica Hanson; and the Center for Compassion and Altruism Research and Education (CCARE) and Stanford University and each of their respective employees, partners, agents and associates from any and all liability for the results of the educational guidance that will be or has been provided.

 

Moreover, I acknowledge that the particulars shared in the 11-month Applied Compassion Training by other participants are to be maintained as confidential. I will not blog or otherwise report on content shared by others in this training in any form of media.

 

I also acknowledge that taking this course does not entitle participants to represent themselves as affiliates to or with the Applied Compassion Training (ACT) or the Center for Compassion and Altruism Research and Education (CCARE) at Stanford University.

Waiver of Dismissal

If at any point during the registration process or over the course of this 11-month training we determine that a student’s participation needs to be terminated, we reserve the right to dismiss that student from the program.  If a student is dismissed, they will be refunded a pro-rated amount of their tuition within 30 days.

Tuition/Cancellation/Refund Policy

A full refund (minus a $275 processing fee) may only be issued if your cancellation request is received by December 1st, 2022. No refunds will be made for cancellations received after December 1st, 2022. Send refund requests to: appliedcompassionacademy@gmail.com

 

 

Payment is required to complete your registration and secure your space in the program.

 

There are two options for submitting your payment:

 

Option 1: Payment in Full

Your payment in full of $8995 is due today.

Option 2: Installment Plan

The first payment of $2995 is due today

The second payment of $3000  is due on October 1st, 2022

The final payment $3000 is due on December 1st, 2022

If you need to discuss payment options, please email us HERE

ACT participants have successfully requested funding from their organization, company, or institution to pay for their participation or receive reimbursement.

 

To support you in making this request, we’ve developed a packet designed for decision-makers available here: Support for Requesting Organizational Funding for Professional Development. The packet includes a sample letter that has been used to successfully request organizational funding.

Section six- registration & payment

*Accepted forms of payment include: credit card, wire transfer, corporate and institutional payments

Questions? Please email us at: appliedcompassionacademy@gmail.com