A Powerful Collaboration for Wellness Leaders

Empowering Black therapists to lead transformative healing-centered retreats worldwide

The Retreat Leader Intensive

Application for Enrollment

Because this cohort is intentionally limited to 6–8 licensed professionals, we ask all interested participants to complete this application to ensure alignment, readiness, and safety.

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SECTION 1 — Professional Foundation

First Name

Last Name

License Type & State(s) *

Years in Practice *

Primary Clinical Population(s) *

Do you currently facilitate groups? *

No

Yes (briefly describe the format and frequency)

Have you ever hosted or co-hosted a retreat? *

No, but I am planning my first

Yes, 1–2 retreats

Yes, 3+ retreats

If yes, what did you learn from that experience?

SECTION 2 — Retreat Vision & Direction

What type of retreat are you feeling called to host? *

What transformation do you hope your retreat will offer participants? *

Who is your ideal retreat participant and who would not be a good fit? *

When are you hoping to host your first (or next) retreat? *

SECTION 3 — Ethical & Clinical Awareness

What feels most important to you about safety in immersive environments? *

What concerns or hesitations do you have about hosting retreats? *

How do you regulate yourself when a client or group becomes emotionally activated? *

What safeguards do you believe are necessary outside of traditional therapy settings? *

SECTION 4 — Readiness & Intent

What makes this the right season for you to expand into retreat leadership? *

What would make this Intensive a “10/10” experience for you? *

Are you prepared to invest financially and energetically in building this responsibly?

Yes

I would like to discuss payment options

By submitting this application, I affirm that I am a licensed mental health professional in good standing and understand this training is intended for clinicians expanding their retreat leadership responsibly.

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Black Therapists Travel, LLC

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