Creative therapies application form

Creative therapies workshop application form

Name of workshop you want to join

Your name

Email address

Messenger address

Phone number

Further Information about You
Working online we lose the visual/oral/aural cues that help us to identify each other.
So we ask you to write a short description to introduce yourself and help other workshop members picture you.
The information will be uploaded to the Workshop’s private area of our of website which is password protected.

You may prefer to write your own description or use the headings below- the boxes will expand as you type

I am:

My counselling approach is:

I am interested in this workshop because:

I want to use this workshop as:

My relationship with technology is:

What is your main interest in taking this course?:

My supervision experience is: (for supervision workshop only)

Finally, please tell us about how you heard about our website:

Payment

Places are limited. To ensure your place, please book early.
Full payment is due two weeks before the start of the Workshop.

I will pay for this Workshop using:
(please tick your payment method and follow the relevant instructions below).

Cheque

Paypal

Internet bank transfer

When you have completed all the information, please copy and paste it into a Word document for your records. Then click the ‘Submit’ button below and your application will be sent direct to us. If you don't hear from us within five days please copy and paste the application form into a Word document and email it direct to the Workshop tutor using the email link beside their names on the Workshops page.

For information about how to pay, please see Fees and Payments (your application will not be completed until we have received payment)

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Please see below before submitting your completed form
NB Depending on your PC's operating system, when you click the 'submit' button you may be asked if you want to send this information and therefore to reveal your email address to the recipient. Do not be alarmed; this is a standard security alert. Please click 'ok' and then 'send'. In some browsers, e.g Safari, the completed form will appear as an email, which you will need to send in the usual way. A copy of your completed, dispatched form will remain in your sent items folder for your records. Before closing this page or moving on to another, please check there to be sure that your application has been dispatched. This may take a few minutes depending on your internet connection.