Supervisor-In-Training Student Application Form

Welcome to ICPT's Supervisor-In-Training Application Form.

You can save your application at any time you wish and return back to it at a later time.
If you have any questions about the application and enrollment process, please contact

ICPT seeks to train students from all racial and ethnic groups in our society. Please indicate any identities in which you would include yourself. Any disclosure of ethnic background is completely voluntary and optional, and omitting or providing answers will not affect consideration of your application. This information is used solely for compliance with civil rights laws. ICPT does not discriminate in its admissions decisions on the basis of race, color, religion, gender, sexual orientation, national origin, age, marital status, or disability.

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Employment Information

Educational Background

Please create a word document and limit your answer to 500 characters.


When would you like to start training?

When would you like to start your training?The following schedules are available for SIT training. New session schedules will be posted as they become available. For corporate clients seeking customized corporate training schedules, please contact ICPT at


Please download this Faith Leader Referral form. Have your faith leader complete it, sign it in ink, and upload it.

Application Fee

There is a one-time, non-refundable application fee of $75. Once your application and enrollment agreement are approved you must remit tuition in full two weeks prior to the start of the unit unless payment arrangements have been made. The tuition for the unit is $1,235. If there is a third party sponsor, please provide their information.


** If your device has a touch-screen, you can use your finger to sign this document. If you are using a non-touch screen, you can use your mouse to sign this document.
For any reason, if you are unable to sign electronic signature please type in your name. The typed in name will be considered as an electronic signature.