CST-APP-JA: Certified Sandplay Therapist Application

  • Certified Sandplay Therapist (CST) Application for Jungian Analysts

    Form CST-APP-JA

  • 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 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.

  • Applicant

  • Advisor

  • Format: (000) 000-0000.
  • Advisor Agreement*
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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.

  • Education & Training Requirements

  • Date requirements for CST started*
     - -
  • Date all requirements for CST completed*
     - -
  • Verify you have completed all required elements of the following forms, which are also part of your CST application*
  • I am an STA Associate member or Registered Sandplay Practitioner*
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  • Initial Paper

  • Date approved*
     - -
  • Initial paper assessment*
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  • Final Case

  • Date case submitted to readers*
     - -
  • Date case approved*
     - -

  • Directory Information

  • Please list below how you would like to be included in the directory of sandplay therapists available on the STA website.

  • Directory address type
  • Format: (000) 000-0000.
  • Directory phone type*
  • Directory email type*
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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)

  • 0/150

  • Attestation

  • Please read the following before checking the box below:

    • STA Standards for Professional Conduct
    • ISST Code of Ethics
  • Have you ever been convicted of a crime in any state or country?*
  • Have you ever had any licensing board or professional ethics bodies require you to surrender your license or found you guilty of ethics codes, professional misconduct, unprofessional conduct, incompetence or negligence in any state or country?*
  • Are there any complaints, charges or investigations pending against you for any ethics codes, professional misconduct, unprofessional conduct, incompetence or negligence in any state or country?*
  • Has any professional liability claim or suit ever been made against you?*
  • Are you or have you ever been engaged in any sexual misconduct with any of your current or former patients, current of former patient’s spouse, or any person with direct relationship to patient or former patient?*

  • 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 Sandplay Therapists of America and the International Society of Sandplay Therapy.

  • Date signed*
     - -

  • What's Next

    1. Pay your application fee using the PayPal buttons below. Upon completion, you will be returned to this page.
    2. After payment, click "Submit" at the bottom of the form.
    3. Your advisor will receive an email with a link to review and sign this form.
    4. The completed, signed application will be forwarded to the Admissions Committee; you and your advisor will also receive copies via email.

  • Application fee*

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      CST application fee
      $100.00$100.00
        
      Total
      $0.00$0.00
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    • I, the advisor, have reviewed this CST application and certify that, to the best of my knowledge, this applicant has completed all of the requirements for Certified Sandplay Therapist, including one initial paper 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 form, do not sign now. After they make their edits, you will receive another email with a link come back and sign.

    • Advisor date signed*
       - -
    • Should be Empty: