Membership Onboarding

This form captures your Psychosynthesis training and background for organizations. Where you trained, course, duration, your psychosynthesis qualifications, including state license or accreditations.
 
1
2
Last Page
First Name *
Last Name *
Email *
Phone Number *
Address *
City *
Picture *
Maximum file size: 5 MB
State Province (US & Canada)
Zip/ Postal *
Country *
Personal or your Company Website
Company Address (if applying for Institutional membership)
Company/ Official Phone (if applying for Institutional membership)
Tell us your background in Psychosynthesis training *
Credentials (PhD, PsyD, MD, LCSW, MFT, LPC etc.)
State license | Certifications if practicing as a therapist
Years in practice as a psychotherapist or counsellor (as applicable)
Coaching Accreditation (as applicable)
Coach Accreditation Body (e.g ICF, EMCC) *
Level of Accreditation (e.g ACC, PCC, MCC or Senior Practitioner) *
Years in practice as a Coach (if applicable)
Locations where you practice *
Where you studied Psychosynthesis (Name of your Institute in full) *
Duration of your Psychosynthesis Program *
Evidence of your qualification A copy of your graduation certificate or a letter from your place of study, on headed paper, which confirms you have successfully completed and graduated from the course in full. Please only include the one relevant qualification - that is your core practitioner training. Make sure you enter your place of study and not who awarded your qualification (if these are different). *
Maximum file size: 5 MB
Brief description of practice and specialties (50 words or less) *
Include details in Practitioner Directory (note, this feature is only available for Professional, Lifetime and Institutional membership). *

Subscribe To Our Newsletter