Application for Integrative Movement Specialist Certification

Thank you for your interest in the Integrative Movement Specialist Certification.

This application helps us get to know you better, determine if you are a good fit for the program and equally as important the program is a good fit for you.For consideration to the program, you must complete all questions in the application.  If there is a question that does not apply to you, please put N/A in the corresponding box.

Be sure to hit submit at the end of the application.

Click the button below to start the application.


Question 1 of 15

Please list: First Name & Last Name

Question 2 of 15

Street Address:

Question 3 of 15

Please list:

City, State, Postal Code and Country of residency

Question 4 of 15

Email Address:

Question 5 of 15

Best phone number

Question 6 of 15

Please list any that apply: your website and social media handles, (Facebook, YouTube, Instagram, etc)

Question 7 of 15

How did you hear about the certification?

Question 8 of 15

Why would you like to become a Certified Integrative Movement Specialist?  How do you feel it would serve you and your clients?

Question 9 of 15

What difference do you see yourself making as an IMS?

Question 10 of 15

What degrees, current licenses, certifications or courses of study do you currently hold or have pursued?

Question 11 of 15

Describe your current work situation:  (type of clients you see, their goals, your workplace, etc)

Question 12 of 15

What niche do you work with or would you like to work with?

Question 13 of 15

If we were to ask your clients to share their experience of working with you, what do you think they would share?

Question 14 of 15

The IMS Certification is not meant to be a one and done type of certification.  Rather, it is a community of committed health and fitness professionals learning and working together to improve themselves, their clients and the health/fitness industries.

Confirm this is a type of program you would like to be a part of going forward.


Yes, I understand and would like to be a part of IMS program and community going forward.


No, this is not something I would like to be a part of going foward.

Question 15 of 15

The IMS Certification is approximately 6 months of online study with quizzes and client case studies.  Previous students have worked full-time, had family obligations and told us they required an average of 5-10 hours per week to complete the online course requirements.

The course completes with a 5 day intensive, in person workshop.  

Please confirm you can commit the time needed for the online component and are able to attend the live workshop.

Please also confirm you have reviewed  and can complete the tuition requirements.


Yes, I confirm that I can complete all course requirement including online, live workshop and tuition.


No, I am not able to complete all components of the course requirements.

Confirm and Submit