EMDR Basic Training Participation Agreement

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Email *

What is your name? *

Please describe your clinical experience and the kinds of clients you are currently working with. *

I understand and fully agree to all the following (please check each one after reading) *

I understand that learning EMDR involves the participants practicing EMDR on one another and that this is a necessary part of the learning process. While I know that this is not expected to function as therapy, I understand that EMDR can bring up strong emotions, and, therefore, I understand the importance of respecting other participants’ confidentiality and agree to do so.

In addition, if I am in therapy myself, I certify that I have received my therapist’s clearance for engaging in practicum work. I will let the trainers know if I have an actual or suspected dissociative disorder

If, during participation in this course, I find that I am having difficulty coping with feelings, thoughts, or other issues that come up I agree to raise this with my therapist, or if I am not in therapy I agree to seek out professional assistance. (The instructor can direct you to appropriate resources if necessary).

I also certify that I do not have any medical condition which would preclude my participation in being an EMDR “client” in the practicum experiences (check with the instructor if you are not sure).

I agree to complete all course content, required readings, videos, and assignments related to this training.

I understand that my instructor(s) must feel that I have completed my training having demonstrated sufficient competence appropriate to Basic Trainees. My instructor may, if necessary, ask me to complete additional tasks or requirements to demonstrate my competence.

I understand that by EMDR International Association (EMDRIA) rules, I MUST complete all work, including make-up work, within one year of the first day of live training for this course

Required

By typing my name below, I am digitally signing and agreeing to all the above terms and requirements for this training. *

A copy of your responses will be emailed to the address you provided.

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