Certified Sandplay Therapist Application Addendum (CST-ADD)

Certified Sandplay Therapist (CST) Application Addendum

Form CST-ADD. Submit this form when all CST requirements have been met.
Applicant
The detailed contact information from your STA Member Profile comprises the cover page of your application package. If you haven't yet filled it out, please do so now. If it's been a while since you did so, please make sure it's up to date using the edit link in the confirmation email you received when you submitted the profile form. If you no longer have that email, please contact sta@sandplay.org to request a link.
To the advisor: Please review this CST Application Addendum for your advisee, {name}. Click through and review each screen. On the last page, sign using your mouse or your finger and click "Submit." This application will not be sent to STA until you sign and click the green "Submit" button on the last screen.
Name*

First NameLast Name
Preferred email*
Advisor
Advisor name*

First NameLast Name
Advisor email*
Applicant/Advisor Agreement

My advisor and I completed the old paper Form 2My advisor and I signed the online Form ADV
Upload Form 2*

PDF, JPG, or PDF. Max file size 1GB.
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Fill out Form ADV ↗
Please note that Jotform deletes draft entries after 2 months. If you choose to save and continue later, please return and submit the form within 2 months using the link in your confirmation email.

Remaining CST Requirements
Date requirements for CST started*

MonthDayYear
Date all requirements for CST completed*

MonthDayYear
Education & Training*

Form E&T has been updated to show 80+ hours of case consultation, including completion certificates or letters of verification.Form E&T includes the most recent copy of my professional license.
Malpractice insurance (current policy face sheet)*

PDF, JPG, or PDF. Max file size 1GB.
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Initial Papers
Please list the following details for each of your initial papers*
Initial paper assessments*

I have 2 online CST-PAPER formsI have 1 online CST-PAPER form and one paper "Preliminary Papers Checklist"I have 2 paper "Preliminary Papers Checklist" forms
Upload checklist - first preliminary paper*

PDF, JPG, or PNG format. Max file size 1GB.
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Upload checklist - second preliminary paper*

PDF, JPG, or PNG format. Max file size 1GB.
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Final Case
Date case submitted to readers*

MonthDayYear
Date case approved*

MonthDayYear
Readers*

Directory Information
Please list below how you would like to be included in the directory of sandplay therapists available on the STA website.
Full name*
Certifications displayed after name*
(e.g., PhD, LCSW)
Job title*
Address for directory*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Directory address type*

HomeWork
Directory phone number*
Directory phone type*

HomeWorkMobile
Directory email*
Directory email type*

PersonalBusiness
Website
Photo headshot for STA website*

JPG or PNG format. Max file size 1GB.
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We would like to announce to the membership your new status as a Certified Member. Please provide a brief written paragraph describing your educational background, professional experience, current position, and location as well as your contributions to the field. (150-word limit)
Your Bio*

0/150

I, the applicant, understand that any misrepresentation in the information about myself that I have supplied may jeopardize my application and my Certified Membership with the International Society of Sandplay Therapy and Sandplay Therapists of America.
Signature

Clear
Date signed*

MonthDayYear
What's Next
Upon clicking submit, your application will be sent to your advisor for their review. Once they have co-signed, you and your advisor will receive a PDF copy and it will be forwarded to the Admissions Committee.
I, the advisor, have reviewed this CST application addendum and certify that, to the best of my knowledge, this applicant has completed all of the requirements for Certified Sandplay Therapist, including two initial papers and a final case paper, which were evaluated and approved by the readers listed above.
To the advisor: If you believe that the applicant needs to make edits to this application addendum, do not sign now. After they make their edits, you will receive another email with a link to sign this form.
Advisor signature*

Clear
Advisor date signed*

MonthDayYear
Should be Empty:

Certified Sandplay Therapist (CST) Application Addendum