IICS Application for Admission

The requirements for admission are:
A Master’s degree in a healthcare-related field with a minimum GPA of 3.0
OR
An official transcript indicating proof of a Bachelor’s degree and transcripts or certificates confirming sixty (60) graduate level credits in a healthcare field.

A license is not required.

After your initial application and acceptance, we will need your official transcripts and two letters of recommendation within 30 days.

Name *

Home Phone *

Date of birth *

Conference Code

Address *

Zip *

Cell Phone *

Copy of ID or Passport The maximum file size is 5mb (jpg, jpeg, png, pdf, doc)

Resume or Curriculum Vitae The maximum file size is 5mb (jpg, jpeg, png, pdf, doc)

Professional License The maximum file size is 5mb (jpg, jpeg, png, pdf, doc)

City *

Country

Email Address *

Professional Education - List all Degrees

Student Questionaire

1. What first attracted you to the field of Sexology and Sexuality? *

2. What is your highest degree and major area of study? *

3. What licenses and/or certifications do you hold? *

4. Describe your recent professional experiences and accomplishments. *

5. What is your purpose in attaining this degree? How will you use it? *

6. What research experience do you have? *

7. What attracted you to IICS? *

8. What can you contribute to IICS? *

9. What are your thoughts and opinions about sex addiction? *

10. What are some examples of value differences between you and your clients or patients? *

11. How do you deal with those? *

12. In what area do you wish to specialize? *

Terms & Conditions

CANCELLATION AND REFUND POLICY
TERMINATION OR CANCELLATION BY THE INSTITUTE OR STUDENT
EMPLOYMENT PLACEMENT SERVICES

I have read and agree to the all Terms and Conditions

Method of Payment * $100 non-refundable Application Fee Now, $600 Registration fee at time of signing Enrollment Agreement

Acknowledgement

This contract contains the entire agreement between the International Institute of Clinical Sexology and myself, and no further modification or representation except as herein expressed in writing will be recognized.

Application Fee - A $100 Application Fee is applicable for all non STTI Applications
Total Payable - 100.00 USD

Please note: After submitting this form you will be redirected to PayPal for the $100.00 non refundable application fee payment.

*** If you don't pay your application fee at the next step, we will not receive your application! ****