Draft: Lead Assistant Application for your review. Your input is greatly appreciated and valued.

Your Full Name*

First Last

Preferred Pronouns*

Please tell us your preferred pronouns.

Your Email*

Enter Email Confirm Email

COUNTRY*

Please tell us the country where you work and are licensed.

Please tell us about your license / credentials*

The role of LA is 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

Other, if needed, from above: Other Licensed Mental Health Professional" license or credential

Please confirm that you have completed the prerequisites to be a Lead Experiential Assistant*

If you do not have all of the following requirements covered, ask for an exception by emailing events@aedpinstitute.org with a request and explanation. Thank you!

I am a Certified AEDP Supervisor, Supervisor in Training, or on my way to becoming one
I have assisted in ES1 and/or Advanced Skills at least four times
I have a recommendation from an AEDP faculty member or a Lead Assistant
I have emailed a request for an exception to one of the above

Attributes we look for in Lead Assistants

Please comment on your strengths as far as the following attributes; and also comment on where you would benefit from mentoring and growth: Natural leader, well organized, good communicator (oral and written), calm under pressure and unexpected circumstances, skilled at handling ruptures and repairs, strong AEDP skills, good problem solver, well-boundaried, generally well-respected in AEDP community among faculty, supervisors, therapists and admin team, and a highly regarded (per course evaluations) experiential assistant. Feel free to share examples of how these attributes have served you when assisting in a course.

Please tell us which faculty member or lead assistant will be recommending you - we will contact them directly.

Why do you want to be a Lead Assistant?*

Which AEDP courses are you interested in being a lead assistant?

Immersion
Essential Skills (ES1)
ES2/Advanced Skills (requires ES1 Lead Assisting experience first)

If you would like to be a lead in Immersion, would you prefer to start as a shadow*

Yes
No
Maybe / undecided

If you would like to be a lead in ES1, would you prefer to start as a co-lead*

Yes
No
Maybe / undecided

What languages do you speak?*

Certain courses will include some participants who prefer to do experiential work in other languages other than English. Please tell us about your proficiency in English and in other languages.

I am fluent in English
I am fluent in Other Languages, see below

Other languages I am fluent in

The Institute has a goal of broadening the diversity - by every definition of that word - of our lead assistants. Tell us whatever you would like us to know about your social identities and, if you wish, the social identities of the clients you serve and the therapists you supervise.

This information will be used ONLY to enhance diversity among Lead Assistants in our courses.

Space to tell us anything else you want us to know: