Swedish 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 Swedes. 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

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 Swedish participants the option to do experiential work in Swedish. Please tell us your preference:

additional language option from above: I can do experiential work in English, Swedish, or another language ... below

Why is this particular Immersion course of interest to you?*

Swedes receive a 20% discount off the list price of $1599 USD. Final price will be $1,279 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.

Thank you for applying!