Welcome! We are thrilled you are choosing Elevate!  If you are ready to dive in, please complete this application.  

We strive to process all applications within 3-4 business days, so keep an eye on your email! 

If you need to submit a scholarship request, stop, and click here instead.  Thank you!

All information received from Elevate, online trainings or RBI, is copyrighted and cannot be replicated or used without written consent of RBI Management.

Further, you acknowledge during the course of participation with RBI and Elevate you will have access to materials, information, curriculum, trade secrets, clients, confidential data, and good will, which you agree to retain as confidential, and not use said information for any other means.

By submitting this application you hereby agree not to directly, or indirectly, compete with the Elevate program or RBI.

Today's Date *
Today's Date
Name *
Name
Phone *
Phone
Date of Birth *
Date of Birth
Marital Status *
Do you have access to the internet with a laptop or tablet? *
RBI may use photos to advertise Elevate and it's programs. This would be done with the utmost taste to protect each Survivor participant. Please choose an option below to indicate your preference for the use of your likeness *
Often times, we want to advertise this program to encourage others to join. This would not include confidential information, personal information, nor parts of your story, etc., but rather positive quotes you have conveyed about RBI and it's programs *
Please be advised, all materials and information shared through RBI, Elevate Academy, our publications, or websites, written or verbal, is for informational purposes only, and shall not be construed as either medical or mental health treatment, nor does your participation in such establish a therapist-client relationship. Our staff are not credentialed medical nor mental health professionals. In addition, any information obtained, either written or verbal, shall not be considered a substitute for professional consultation or care. *

Upon clicking 'submit' click on the membership of your choice to complete enrollment in ELEVATE!