Registration Form

CONTRACT AND REGISTRATION FORM:

You will be asked to present these documents for initiation in the Course


Gestalt Psychotherapy Contract for Students:

1. I hereby register my intention to work towards the Diploma in Gestalt Psychotherapy awarded by the EAPTI-GPTIM. I understand that establishing this training contract does not necessarily mean that the EAPTI-GPTIM is in any way obliged to award me with such Diploma unless I satisfy all criteria and conditions required;

2. By this contract I bind myself to serious study in Gestalt Psychotherapy in its theory, methodology and practice. I commit myself to its underlying philosophy, which I will learn during the Course, as it is applied in psychotherapy;

3. I have read thoroughly and understood the regulations, policies and requirements for following the Diploma in Gestalt Psychotherapy at the EAPTI-GPTIM on gptim.com. I am responsible for keeping myself up to date with any changes and/or amendments of policies/regulations/requirements of the EAPTI-GPTIM on gptim.com.

4. I accept that I am responsible for registering for all required training activities and for keeping up to date my records of all training, supervision and personal psychotherapy hours necessary for successful completion of the training;

5. I have reviewed the Code of Ethics of the EAPTI-GPTIM and I agree to honour it and to act in accordance with those guidelines;

6. I accept that the training contract, which I will sign and present to the EAPTI-GPTIM, will be valid for 3 years from the date of signature and that a copy of the training contract will be archived at the EAPTI-GPTIM;

7. On signing this contract and by paying the fee for every term accordingly I become a student (trainee) member of the EAPTI-GPTIM.

 

Signature of Trainee:

Name in CAPITAL LETTERS*:

Address*:

Mobile Phone Number*:

E-mail address*:

 

* PLEASE WRITE CLEARLY AND LEGIBLY


REGISTRATION FORM:

Please click below to Dowload the GPTIM Registration Form in PDF format:

GPTIM Registration Form