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By requesting the training, and certification as a Certified Consilium® Practitioner (Mental Health), I understand: The Consilium ® Institute teaches, certifies and advocates for the philosophical process and structure of Consilium, in which trained advisors assist clients through a proprietary, integrated, systematic legal/financial/psychologically-based advising strategy, but the Institute cannot and does not guarantee outcomes.

1. In what states are you currently licensed and in good standing? Please provide your registration number/information 
If yes, please explain the date, nature, and resolution of the complaint or alleged infraction.
Name of Institution, Year of Graduation, Degree Earned, Major/Minor/Concentration, Graduate Degree
 
 

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