DE Training Registration Form
A one-year experiential training, starting August 27, 2026 Thursdays fortnightly (10:00am-4:00pm)
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address (Street and City)
*
Profession / Role
*
Counsellor
Psychiatrist
Nutritionist
Parent
Educator
Social Work
Medical Professional
Other
Organization
*
How often do you come across disordered eating behaviours in your professional discipline or otherwise?
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How would you rate your current understanding of Disordered Eating
*
Introductory
Basic awareness
Extensive understanding
None
What motivates you to join this training?
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How do you see this training adding to your personal and professional development?
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This is an experiential training, group participation requires discussions and reflective exercises
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I am comfortable participating
This will be a new experience for me
I am not comfortable
Tell us more of your experience of live supervision/ demo with faculty in a few words.
Are you in personal therapy?
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Yes
No
If yes, please mention hours and share your experience that you have gained being in therapy, in a few words.
*
If no, how did you navigate personal challenges without the support of a therapist. Write in a few words.
*
If you are a mental health practitioner, are you in supervision or have been? please write in a few words your experience. If not then describe how you would manage the stress, personal triggers as part of the work.
Can you commit to the Thursday (fortnightly) training schedule?
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Yes
No
Maybe
The training follows a Hybrid model, with online and in-person session held every quarter
*
Yes, I will travel for in-person sessions
I will not be able to attend in-person
Other
If other, please specify
What do you enjoy doing in your free time / what helps you relax?
Do you have any questions or specific needs with respect to this training we should be aware of?
Register
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