Diploma in Integrative Supervision Application

Diploma in Integrative Supervision

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Personal Details

First Name(Required)

Surname(Required)

Address(Required)

Street Address Address Line 2 City County / State Eircode Country

Contact Phone(Required)

Your Contact Email(Required)

Nationality(Required)

How did you hear about this course?(Required)

Please specify how you heard about this course(Required)

Psychotherapy Education

Psychotherapy Education(Required)

Start Date

End Date

Institution

Qualification

Please Upload the following documents(Required)

Curriculum Vitae , Core Training Certificate Accreditation, and Indemnity Insurance

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Max. file size: 50 MB.

Personal Statement

Please describe your motivation to train as a professional Clinical Supervisor(Required)

What qualities do you think you could bring to this training?(Required)

Please describe your motivation to train as a professional counsellor and psychotherapist(Required)

Please outline your therapeutic approach and modalities you draw on as a psychotherapist(Required)

Health

Are there any health issues, that we should know about to ensure your personal safety and/or that might impact your ability to fully engage in the Diploma Training?(Required)

Your Order

All applications must be accompanied by an application fee of €150 which is non refundable.

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Fee Confirmation(Required)

I confirm I have paid the €150 fee.

Diploma in Integrative Supervision Application