Montreal Institute of Core Energetics
Aidan L.J. Fisher, ACCEP
Practitioner & Director

8625 Waverly
Montréal, Québec, H2P 2R2
(514) 609-5969

MICE Application Form:
•	Post Graduate Certificate in Core Energetics (ACCEP) – Core 5. (1 Year)
(Please complete or initial all areas marked in RED)

Applicant Information

Name:
Email Address:
Phone:
Street Address:
Apartment, suite, etc:
City:
Province/State:
Postal Code / ZIP:
Country:
Date of birth: d  / m  / y
Preferred pronouns:
Emergency contact person:
Emergency contact phone number:
How did you hear about this program? :

Personal & Medical Details
•	Do you have any physical limitations, injuries, or health issues we should know about that would limit your participation in physical/expressive exercises?
•	Are you presently taking any medication? If yes, please describe:
•	Do you have any history of sexual or physical abuse, or other trauma?
•	Do you have any criminal convictions or history of professional misconduct?
•	Do you have any history or current issue with alcohol, drugs or substance use?
•	Have you ever attempted suicide? If so, please explain.
•	Have you ever been diagnosed or hospitalized for anxiety, depression, mental illness, etc?
Application Information Requirements

Submitting this online form starts your application process and requires that you follow up with additional documents.

Autobiographical Statement
In order to learn more about you, please write an autobiographical statement, limited to five (5) typed pages, of the major emotional and spiritual events in your life.
Please include the following information:
•	Your motivation for applying to the program.
•	Your strengths and limitations, personally, and professionally.
•	Significant life experiences.
•	Your occupation.
•	Your personal and professional goals.
•	Obstacles or resistances you think might get in the way of being able to fully benefit from this program. How might you sabotage your own success?
•	How do you expect this Core Energetics program to affect your personal/professional/spiritual life?

I UNDERSTAND I NEED TO SUBMIT AN AUTOBIOGRAPHICAL STATEMENT LIMITED TO FIVE (5) PAGES AS PART OF MY APPLICATION.

Letters of Recommendation

Please provide two letters of recommendation from non-family members. Provide the name and contact information of the two people who will be sending these letters. Their evaluation should include their knowledge of your motivation, relevant experiences and potential. Please have them specify their relationship to you. Their letters should be emailed directly to: info@coreenergetics.ca or via Canada Post or other such carrier to:

The Montreal Institute of Core Energetics
ATTN: Admissions
8625 rue Waverly
Montréal, Québec, Canada
H2P 2R2

I UNDERSTAND I NEED TWO LETTERS OF RECOMMENDATION AS PART OF MY APPLICATION.

Program Schedule

Our program year includes 4 modules and a total of 20 days of training consisting of:
•	3 five day URBAN modules (Wednesday to Sunday) in Montreal,
•	1 five day residential module outside of Montreal (Sun evening to Fri afternoon).

Dates for the 2025/2026 Program Year are as follows: 
•	Module 1: October 22-26, 2025 (Wednesday to Sunday)
•	Module 2: December 10-14, 2025 (Wednesday to Sunday)
•	Module 3: February 25-29, 2026 (Wednesday to Sunday)
•	Module 4: May 17-22, 2026 (Sunday to Friday) * travel, food and accommodation additional costs
I AM AVAILABLE TO ATTEND ALL PROGRAM MODULES FOR THE YEAR.:

Residential Training Module
The final week-long module will be held at a retreat center outside of Montreal.
I UNDERSTAND THAT THE RESIDENTIAL TRAINING MODULE WILL INCUR ADDITIONAL COSTS OF APPROXIMATELY $950 (SHARED) - $1,260 (SINGLE) FOR ROOM, BOARD AND TRAVEL THAT ARE NOT INCLUDED AS PART OF TUITION OR OTHER FEES ALREADY PAID:

Application Fee

There is a one time non-refundable application fee of $100.00
I UNDERSTAND THERE IS A ONE TIME NON-REFUNDABLE APPLICATION FEE:

Tuition & Costs
The tuition costs per year for all 4 MICE programs are the same:
•	Leadership in Core Energetics program (Years 1 & 2)
•	Advanced Leadership Program (Years 3 & 4)
•	Certified Core Energetics Practitioner program (CCEP). (Years 3 & 4)
•	Post Graduate (ACCEP) program, CORE 5. (1 YEAR).

Annual Tuition
$7,000.00
This includes 20 days of professional training split between four 5 day training modules.  For US and Canadian students, please pay in the currency of your country of residence. Tuition can also be paid in 4 installments of $1,750 for those requiring a payment plan.
Early Payment Discount
Pay only $6,700 if paid in full by Friday, September 19th 2025 (SAVE $300).
There is a non-refundable application fee of $100.00.

Please Initial:
I understand that a one (1) year financial commitment is required to join this program. This means I am responsible to pay for the entire year’s tuition even if I am on a payment plan or unable to attend any parts of the program: 
I understand there will be no refunds after Friday, September 19th, 2025:
I UNDERSTAND THERE IS A ONE TIME NON-REFUNDABLE APPLICATION FEE:
I UNDERSTAND THE COST OF TUITION AND THAT THERE ARE ADDITIONAL COSTS FOR TRAVEL, ROOM & BOARD, SESSIONS AND MATERIALS.

Submission of Application

Along with your application; have two letters of recommendation and a recent headshot photograph (400x400 .jpg format) emailed to info@coreenergetics.ca or send by a carrier service to:
The Montreal Institute of Core Energetics
ATTN: Admissions
8625 rue Waverly
Montréal, Québec, Canada
H2P 2R2
After your complete application is received you will be contacted for an interview. This will be either a phone call or a video conference and should not take more than 30-40 minutes.
Privacy and Confidentiality

Your application and all the information related to your application is kept in confidence between the administration, the Faculty and the Director.

I UNDERSTAND MY INFORMATION WILL BE HELD IN STRICT CONFIDENCE