2021 APPRENTICESHIP REGISTRATION
Registration Date: (MM/DD/YY)
Hawaii 2021 Apprenticeship
February 24 - March 5, 2021
September 27 - October 6, 2021
November 29 - December 8, 2021
100 Day Graduate
Method of Payment: Tuition and translation fees (if requested) are due six weeks before the program. If we do not hear from you earlier, our office will process your balance due on the credit card you used at registration. IF YOU DO NOT MAKE PAYMENT IN FULL AT LEAST FOUR WEEKS PRIOR TO THE EVENT WE MAY RELEASE YOUR SEAT AND HOLD YOUR DEPOSIT FOR A FUTURE EVENT (WITHIN ONE YEAR).
Process $3,200 USD Now + Translation Fee (if requested) Six Weeks before Program
Process $500 USD Deposit Now - Balance $2,700 Six Weeks before Program + Translation Fee (if requested)
Graduate Fee - Process $1,650 USD Now + Translation Fee (if requested) Six Weeks before Program
Graduate Fee - Process $500 USD Deposit now Balance $1,150 USD Six Weeks Before Program + Translation Fee
Name on Card
Credit Card Type
Credit Card Number
Expiration Date (MM/YY)
Name for your name badge:
Name for your certificate:
Translation: Interpretation services are offered depending on the number of people requesting translation. There will be a fee for this service (based upon number of people requesting translation).
Do you plan to graduate at the Apprenticeship? YOUR TRAINER MUST EMAIL ME TO CONFIRM THAT YOU HAVE MET THE QUALIFICATIONS TO GRADUATE. YOU WILL NOT GRADUATE UNLESS I RECEIVE A CONFIRMATION. (We kindly ask that those graduating still pay the Regular Participant rate. The 100-Day Graduate Rate is for those who have already graduated. Thank you for your understanding.)
Apprenticeship Programs are on the fast track, so participants need to have at least 20 days of training in the POV model that must include 20 joining sessions and/or the recommendation of a Psychology of Vision Trainer in order to attend.
I have completed 20 POV training days and 20 joining sessions.
I have not completed 20 POV training days and 20 joining sessions.
I am unsure if I have completed 20 POV training days and 20 joining sessions.
If you have not completed the prerequisites or are unsure if you have completed the prerequisites, you may register and then add additional days and/or joining sessions to prepare for the Apprenticeship Program. Please communicate with the trainer(s) in your area or email the Hawaii Office at
Choose the sessions you plan to attend: Students can attend
one or both of Chuck’s sessions
must attend all of Lency’s
to get certificates.
Chuck: 9:00 AM to Noon Daily
Chuck: 3:00 to 6:00 PM Daily
Lency: 9:00 PM to Midnight Daily
The trainers I work with most often are:
If this is your first enrollment at an apprenticeship program, which local trainer did you contact to support your participation?
Hiromi or Hideaki Kurihara
Thank you for your registration