Application Form for Training Program

Contemplative Therapeutic Practice

All information is confidential.

Personal Details: Full name, address, telephone numbers, e-mail address.


Work history: Give (brief) details of your work history.


Intention: Write something about why you wish to attend the program.


Previous experience: Give details of your experience of receiving psychotherapy, counselling, bodywork, or group work.


Spiritual practice: Do you or have you had a particular spiritual practice?


Any psychiatric or medical history: Please give details of any psychiatric treatment or medical conditions.


Support: Please write something about what and who supports and nourishes you personally, physically, spiritually and professionally.


Is there anything particular happening in your life at present/recently that youd like me to know about?


Previous talks etc: Have you attended any of the previous talks/workshops on Core Process Psychotherapy? If so, which.