submit your application request

How To Apply

Please read everything carefully to understand the application process. Step 1 — Enter your online application request. You will receive a confirmation page indicating that we have received your request. Step 2 — Once we receive your request, we will send you a secure link to fill out the application form. This application form will come via email within 3 business days, please look for the email no-reply@simplepractice.com. If you do not receive it within 3 business days, please notify us at participant@youniquefoundation.org. Step 3 — After receiving your completed application, you will receive an email from The Younique Foundation staff about the next steps. Note – If you have previously applied to The Haven Retreat contact our intake team at participant@youniquefoundation.org to reapply.
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Accept Terms


By clicking "Accept Terms" you agree to the following: (1) I acknowledge that The Younique Foundation (the “Foundation”) does not discriminate against any person on the basis of race, color, pregnancy, childbirth, age (except that the participant must be at least 18 years old), religion, national origin, physical or mental disability, or sexual orientation. (2) I agree and consent that: (a) The Foundation may use the information in this application request to prepare for my participation in the Program. (b) The Foundation is authorized to contact me via email before and after the Program. The Foundation will only use my email or other personal contact information to communicate with me regarding the Program and the Foundation. The Foundation will never share my personal information with anyone outside the Foundation, its directors, officers, agents, employees and volunteers without my prior consent. (3) All information gathered from the participant in this application request will be kept strictly confidential and will not be shared with anyone outside The Younique Foundation, its directors, officers, agents, employees and volunteers without the participant’s prior consent. (4) I verify that I am submitting this application in my behalf and not in behalf of another individual.