AIRM Training Group Registration

AIRM Training Group Registration Form
Please complete this form to share in the cost of the 3-6 hour ICEEFT training in the Attachment Injury Resolution Model with trainer Lorrie Brubacherhttps://attachmentinjuryrepair.com/

名

姓

電子郵件

電話

職業職業

機構/組織/教會組織/機構/教會

I have the educational training, qualifications, and professional credentials to practice as a mental health professional or pastoral counsellor or I am in a training program or supervised practice to become a mental health professional or pastoral counsellor. 我擁有心理健康專業人士或教牧輔導的教育,培訓和專業資格或我在成為心理健康專業人士或教牧輔導的培訓計劃或督導過程中.

Yes 是

No 否

I agree to keep confidential the personal identifying information of case material shared in the training and not to copy, record, store, reproduce or share any part of the training. 我同意保密培訓案例中的個人資料以及不複制,錄影,儲存或分享培訓的任何部分.

I agree 我同意

I don't agree 我不同意

AIRM Training Group Registration Form Please complete this form to share in the cost of the 3-6 hour ICEEFT training in the Attachment Injury Resolution Model with trainer Lorrie Brubacherhttps://attachmentinjuryrepair.com/

AIRM Training Group Registration Form
Please complete this form to share in the cost of the 3-6 hour ICEEFT training in the Attachment Injury Resolution Model with trainer Lorrie Brubacherhttps://attachmentinjuryrepair.com/