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Give a brief history of your family focusing on geographical location, peoples’ functioning on a socioeconomic and an emotional level, any significant events, and the level of contact you have had with each of your parent’s extended families. Describe how you function emotionally in your family. How have you tried to deal with the challenges your family presents? (limit to 1000 words or less)
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Differentiation at Work
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Name of Former Spouse
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mm/dd/yyyy - mm/dd/yyyy
Name of Deceased Spouse/Domestic Partner
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Last Name
Date of Marriage to Deceased Spouse
-
Month
-
Day
Year
Date
Date of Loss of Spouse/Domestic Partner
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-
Day
Year
Date
How many children do you have?
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Name of First Child
First Name
Last Name
Please list the child's age.
Please list the child's highest level of education.
With whom does the child live?
What is the general functioning of the child?
Name of Second Child
First Name
Last Name
Please list the child's age.
Please list the child's highest level of education.
With whom does the child live?
What is the general functioning of the child?
Name of Third Child
First Name
Last Name
Please list the child's age.
Please list the child's highest level of education.
With whom does the child live?
What is the general functioning of the child?
Name of Fourth Child
First Name
Last Name
Please list the child's age.
Please list the child's highest level of education.
With whom does the child live?
What is the general functioning of the child?
Name of Fifth Child
First Name
Last Name
Please list the child's age.
Please list the child's highest level of education.
With whom does the child live?
What is the general functioning of the child?
How would you describe the current state of your health?
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Excellent
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Fair
Poor
List any serious illness, physical or emotional, (current or chronic) in yourself, your immediate household, or extended family.
*
Are you currently working with a coach or a psychotherapist?
*
Yes
No
Is your therapist’s orientation Bowen family systems theory?
Yes
No
If so, please enter their name below.
First Name
Last Name
Essay Questions
Give a brief history and description of your family (your parents, your siblings, your grandparents) and their functioning. What is your level of contact with your family and extended family? How have you tried to deal with challenges in your family?
*
Please describe your previous experience with Bowen theory and the study of family systems, including any coaching with a Bowen coach.
*
What are your goals for participating in the Continuing Studies Program? What do you want to accomplish during the course?
*
Please check all meeting days/times you can attend:
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Tuesday, 5:00pm - 7:00pm Eastern Time
Thursday, 9:00am - 11:00am Eastern Time
Are you ready to check-out and submit your application?
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¿Cuáles son sus objetivos de aprendizaje del programa?
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¿Cuáles son sus objetivos en relación a la aplicación personal y profesional de la teoría de Bowen?
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¿Está listo para completar y enviar su solicitud?
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Returning Student
Which training program are you currently enrolled in this academic year?
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Introduction to Bowen Theory
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Which training program are you applying to for the next academic year?
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Tuesday, 5:00pm - 7:00pm Eastern Time
Thursday, 9:00am - 11:00am Eastern Time
If you are a returning trainee, what year will you be in for the next academic year?
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Required for Postgraduate Program and optional for Continuing Studies applicants: Upload a family diagram showing generations of your extended family back at least to your great-grandparents.
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Essay Questions
What are your learning goals for the program?
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What are your goals for personal and professional applications of the Bowen Theory?
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If program participation is interrupted, credit for future participation in the same program can be arranged with the approval of the program head.
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