Application Forms

Welcome to the IPSA application center. Please select the appropriate form for your application.

Before applying, we encourage you to review the requirements and program information.

SURROGATE PARTNER THERAPY

Intensive Surrogate Partner Therapy

For individuals who will be undergoing surrogate partner therapy under our intensive format.

Professional Surrogate Partner Training Application

For individuals seeking professional training and certification as a surrogate partner.

Personal Enrichment Program (PEP) Application

For individuals interested in personal growth, intimacy education, and experiential learning.

Intern Membership Application

For accepted trainees entering the internship phase of the professional training program.

IPSA Certification & Membership Application

For surrogate partner therapists who have completed all phases of training.

IPSA Therapist Membership Application

For surrogate partner therapists who have completed all phases of training.

Intern Evaluation Form

For surrogate partner therapy team members to submit intern feedback.