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Seattle Externship

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Contact Details

Name(Required)
Email(Required)
May we list pronouns on your name tag?
Required Professional Training(Required)
I have the educational training, qualifications, and professional credentials to practice as a mental health professional in the area where I live or I am in a formal training program or supervised internship to become a mental health profession.
Confidentiality Agreement(Required)
This training includes unscripted psychotherapy and consultation sessions and I agree to keep confidential the personal identifying information of the case material included in this training.
Subject Privacy(Required)
To protect the privacy of individuals who have generously agreed to have their therapy process shown for training purposes, I agree that should I recognize any person(s) in the clinical examples shown, I will let organizers know so an alternative experience can be provided.
Recording Agreement(Required)
I agree to not record any part of this training in any format (audio, video, or visual). Personal written notes of non-confidential material are permitted.
Educational Requirements(Required)
I attest that I meet the prerequisite educational requirements for the externship listed on the externship course page.
Cancellation Policy(Required)
A $50 flat administration Fee will be charged for all refunds for Externship. Refunds of course fees (minus the $50 administrative fee) will be issued for requests made up to 14 days prior to the start date. Cancellations within 8-13 days of the start date of the event will be offered a 50% refund (minus a $50 administrative fee). No refunds will be offered within 7 days of the start date of the event.
Community Agreement(Required)
We strive to co-create a safe learning space for all therapists, where all identities are valued and welcomed. This creates an environment for optimal learning, and enhances each participants experience and growth. In registering for this course, I am willing to be a part of a learning community of mental health professionals where relational values are at the core. I am willing to engage in conversations around cultural humility and explore how this impacts me and my clinical EFT practice.
Is there anything we should know about you that will help us be more attuned to your needs and comfort as it pertains to our shared learning space?
Address(Required)