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Israeli Participant Application for International Immersion June, 2021
While the hours might tempt some to work in the morning before the course begins, we HIGHLY recommend that you do not combine workdays with Immersion. Immersion is an intensive course; participating for 7.5 hours online is both physically and emotionally challenging!
Your Full Name
*
First
Last
Your Email
*
Enter Email
Confirm Email
Address of the institution / private practice where you work.
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
COUNTRY - This application is particularly for Israelis. If you are from another country please go back to the course webpage and complete the right application for you!
*
Phone #
*
Please Provide a Phone Number where we can reach you, ideally by text. We will not share this number or call you for marketing or other purposes.
Please tell us about your license / credentials
*
This course is intended for mental health care professionals in the field of psychotherapy or similar professions. Tell us what type of license you have - choose from below, or complete the "other" option
Choose an authorized profession
Psychologist
Psychotherapist
Psychiatrist
Marriage and Family Therapist
Social Worker
*Other Licensed Mental Health Professional
other from above: tell us about your "Other Licensed Mental Health Professional" license or credential
Professional Suffix (PhD, LCSW, etc)
*
License Number (required for US Practitioners and everywhere where Licensing is required by law)
Preferred Language for Experiential Work
*
In this Immersion, English will almost always be participants' second language. While the course will be taught in English, we will give Israeli participants the option to do experiential work in Hebrew. Please tell us your preference:
I would prefer to do experiential work in Hebrew
I would prefer to do experiential work in English
I have do experiential work in either English or Hebrew
I can do experiential work in English, Hebrew, or another language ... below
additional language option from above: I can do experiential work in English, Hebrew, or another language ... below
Why is this particular Immersion course of interest to you?
*
Israelis receive a 35% discount off the list price of $1599 USD. Final price will be $1,039 USD.
Applicants will be accepted on a rolling basis. All applicants who have applied by the April 30 deadline will be notified of acceptance no later than May 6th, 2021, at which time they will be emailed a link to complete their registration and, if payment is required, pay by either credit card or PayPal. Eligible applicants who are not accepted will be added to a waiting list.
If you have any questions please contact admin@aedpinstitute.org.
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