IFIO Basic Couples Training - Registration Form
This program is open to graduates of the IFS Level 1. This training will run over two sessions: March 26-30 and June 18-22, 2020 near Cedar Rapids, Iowa. This is a retreat-style training, which means that tuition includes room and board. The cost of the training will be reduced for participants who are not staying on site (ie: commuting to training site each day).
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Mailing Address *
(for billing purposes)
Your answer
Professional Address (City and State only) *
(for sharing with class participants & staff)
Your answer
Phone Number *
please indicate if this is a work, home, or cell phone line
Your answer
Alternate Phone Number *
(for sharing with class participants & staff)
Your answer
If you are accepted into the training, how will you wish to pay the $300 non-refundable deposit? *
(Payment is not expected until you are accepted into the training.)
Application Questions
Please respond to the following questions with as much detail as possible.
When did you attend your IFS Level 1 Training and who were the lead trainers? *
Your answer
Please describe your comfort level with unblending and un-burdening. *
Your answer
Are you a couple's therapist? If yes, what is your training? *
If not, what is your interest in this training?
Your answer
Please provide two IFS references. *
Include phone number or email contact for each.
Your answer
Retreat options
The remaining questions pertain to lodging and meals during the training.
What is your lodging preference? *
Please note: You will automatically be assigned to a double occupancy room, unless you are commuting. However, a limited number of single rooms may become available. You can request to be put on a wait list for a single room if you are willing to pay extra for it.
Roommate request
Already have a roommate in mind? Please provide their name here.
Your answer
Do you have any dietary restrictions?
In regards to meals provided during the training.
Your answer
Please tell us about any special needs you have so that we may best accommodate you.
Your answer
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