Entry Questionnaire
Diploma in Holistic Integrated Creative Arts Therapy
Your Name
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Which location for on-campus classes will you be attending?
Auckland
Tauranga
Hamilton
Rotorua
Christchurch
Auckland
Wellington
Far North
Taranaki
Taupo
Other
ART THERAPY
How long have you been practicing art therapy?
Years
How often do you practice art therapy?
Would you consider your level of competency as an art therapist to be:
Very experienced
Experienced
Not very Experienced
What style of art therapy do you prefer to practice?
What do you consider to be the greatest benefit you personally receive from art therapy?
How has practicing art therapy impacted your life?
What level of formal education have you achieved?
Please list any courses you have completed.
Please list the professions you have previously worked in and length of time.
I.e. Retail - 5 Years, Teaching - 4 Years
Please outline any public speaking experience you have.
Please outline any professional counselling or life coaching experience you have.
Please outline any teaching, training or group management experience you have?
Please outline any human resources or people management experience you may have.
Please outline any workplace health and safety experience you may have.
Please briefly outline any classes or workshops you have previously facilitated.
Please outline any business management and/or marketing experience you may have.
Please list some of the personal experiences you feel have had a significant impact on your life.
Have you ever had counselling yourself?
If you have had counselling, was it a positive or negative experience and why?
Please describe the teacher/mentor who has had the greatest impact on you and why.
What do you consider your personal strengths to be?
What do you consider your personal challenges to be?
How well do you think you communicate with others?
Are you able to express your own needs easily?
Are you a good listener?
What are you basing your last answer on?
How would you describe your own sense of humour?
How well do you manage stress?
Are you happy?
Are there any specific areas of your personality that you would like to change and if so, what are they?
Are there any areas of your life you would like to change and if so, what are they?
YOUR GOALS
What do you hope to gain from your association with your training provider?
Do you have a specific area of professional interest and if so, what is it?
e.g. Seniors and corporate or children and families, etc.
Please outline your career goals.
Please outline your personal goals.
Please explain what made you decide to enrol in the training course.
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