Enroll

Sign up for the Charlemont Massachusetts Divine Structure Training

December 2025- January 2027
Module 1-12
Twelve 4 day modules
( this includes the intro/Module 1)

Up to 4 modules can be taken online if you live more than 150 miles away

CE's available for LMT's for part of full training - please inquire

Full training Application Requirements:
1.) Attend the 4 Day Intro/Module 1
2.) Fill out the full training Application
3.) Be interviewed by Kate and Alexa after Module 1.
4.) Be of stable physical and mental health.
5.) In this training we are training resilient practitioners so that you can meet the public as a professional.
6.) Once you are accepted the payment process will be sent to you.

Fill out this training application... Once you are accepted the payment link will be sent to you.

The training fees are paid each module split into 12 payments.

I offer an optional BIPOC discount, please inquire 413 345-6366

Training Application

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Best Phone Number

(###)

###

####

Date of Birth

Gender

Emergency Contact Person and Their Phone

Occupation

Years in practice if applicable

How did you hear about Divine Structure?

Please answer these questions as concisely as possible: Summarize your health education experience as well as your anatomy studies (independent or a class).

Summarize your experience in health and healing, as a professional or layperson.

Briefly describe your Health conditions in past and present. Including hospitalizations, current medications, and physical/emotional/spiritual trauma you have been through. Especially as a child.

Briefly list the ways in which you have worked on personal growth, especially emotionally.

When you were an infant and a very young child, would you say that you had a good bond with your mother or other parent figure, or not so good? Use a scale of 0-10:

Please describe your relationship with your parents as a young child, if you could start from as far back as you can remember?

Please describe your parent figure using 3 words or phrases:

Can you tell me if you ever experienced any abuse or neglect as a child? Or exposure to violence? How old were you for the earliest thing you can remember?

What is your relationship with your parents like now?

Do you know what dissociation is…it can happen when someone experiences something so painful that they find themselves “going someplace else” in their mind. Does this ever happen to you?

Please provide the name, phone number, and email of all the other teachers you have studied with.

Please arrange for 2 letters to be emailed to me at drkateklemer@gmail.com

second reference