Apply for Training - EMDR Training New Zealand

Venue and dates of training *

Your name *

Physical address. *

Town/City *

Postcode *

Physical address and postcode for EMDR Institute website (if different to above).

Your e-mail *

Your phone *

Qualifications. *

Summary of experience *

Professional body: full registration required *

Organisation

Dietary requirements: Nil, vegetarian, gluten free. *

Part 2 Applicants: Name of Trainer, location and date of WE 1

Part 2 applicants: Name of WE 1 accredited consultant.

Part 2 applicants: Date 5 hours case consultation completed or anticipated completion date.

Comments

Fields marked with * are required.