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Why choose us
Contact Us
Schema Therapy Associates - leading providers of Schema Therapy Training
Application form
To apply for our Schema Therapy Accreditation Programme please complete the form below. Once you submit this form we will contact you to discuss your application.
Data Protection and Privacy Policy In applying to our course we will hold and use personal data you provide us in order to help us best meet your training needs.
Personal Information
Name
*
First Name
Last Name
Email Address
*
Phone Number
*
Application Type
*
I am applying for the following application type (Please select relevant option)
Standard
Advanced
Education
Highest Degree
*
Subject
*
Grade / Class of Degree
*
Date Earned
*
Other Relevant Qualifications
Please list any other relevant qualifications along with dates, subject and university name.
Professional Registration
Membership Type
*
Full registration / accreditation is typically needed with at least one of these bodies: HCPC, BPS, BABCP and BACP. Psychologists should be registered with the HCPC and Chartered with the BPS as Counselling, Clinical or Forensic Psychologists.
Date current Professional Registration was attained
*
MM
DD
YYYY
Membership Number
*
Professional Indemnity Insurance
*
Do you have professional indemnity insurance (Please select an option)
Yes
No
If Yes, please give the name of your insurance company
Work Experience
Main Work Setting / Organisation
*
Current Position / Title
*
Work Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
I currently work with:
*
(Select ALL those that are relevant)
Inpatients
Children
Individuals
Outpatients
Adolescents
Couples
Day Programme patients
Adults
Older Adults
Families
Forensic patients
Groups
Other
Additional information.
Please list previous workshops and training in Schema Therapy, if any (include approximate dates, locations, hours, and instructors).
*
Please elaborate on your general clinical training and previous clinical experience.
*
Please describe your current psychotherapy orientation in detail, including the types of patients you work with
*
Describe your work with schema therapy, other than workshop training you have received (e.g. articles or books you have read, number of clients you have treated, supervisory or teaching experience, research you have participated in).
*
Is there any additional information about you that would be helpful to us in evaluating your application?
Mailing List
Would you like to be added to our mailing list for updates and more information?
Yes - Please add me to your mailing list
Thank you!
We will be in touch shortly to discuss your application.
