Registration form
Certification training in Schema therapy
Name
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Email
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Address
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Format: (000) 000-0000.
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Employer details:
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Street
City
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Telephone
Format: (000) 000-0000.
Email
Education
Highest level of education
Previous psychotherapy training
Current job title
Professional regulatory body (e.g., BACP, BABCP, BPS, Social Work England, HCPC or equivalent for international applicants)
Current accreditation/membership status and details (membership no.:):
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Yes, I hold current accreditation/membership with the above regulatory body
No, I do not have accreditation/membership
Other
Membership number
I have access to clients suitable for Schema therapy
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No
Brief CV
Brief motivation letter
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