Art of Self Intensive Application Form
Your answers will help us get to know you and assist in our forming a diverse group for the Art of Self Intensive. Your answers will be read only by the training facilitators and training coordinator.
First name *
Your answer
Last Name *
Your answer
Email *
Your answer
Mobile phone *
Your answer
Street Address
Your answer
City, State, Zipcode *
Your answer
Organization
Your answer
Describe your work *
Your answer
Who referred you to the workshop? *
Your answer
Why do you wish to take this training at this time? *
Your answer
What are some possible learning goals that you have for the training? *
Your answer
Please describe your past experiences of being a facilitator or member of a TGroup/process group: *
Your answer
If you are currently in psychotherapy, please describe your therapy. What is your therapist's opinion about your participation in this training? *
Your answer
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