Application for

 Brain Train

Fitness Professionals

Please complete the application below.  All applicants must complete an application and interview with NeuroHealth Partners to ensure fit.  Given the highly specialized nature of this certificate program, we are very committed to individualized attention.  This is NOT a canned program. 

We look forward to hearing from you.  If you would like additional information, please visit our FAQs page by clicking here.  Or if you would like to schedule a free informational session with Dr. DiGangi, please book an appointment here.

Name *
Phone (optional)
Phone (optional)
age, gender, health status, etc
How many total years have you worked in the Fitness/Health & Wellness Industry? *
Please include lengths of employment at each position you have held?
Please include name, title, phone and email. Please also include how you know this reference and how long you've known them. We will not use this information for any marketing purposes.