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A Vision For Change

Applications

Application to join the IAPPC Register of Graduate Accredited Members:

Fill in your details below and press the submit button once ready. We will contact you shortly.

  * required fields
Name: *
Practice address: *
Email: *
(must be a working email address)
Telephone: *
Mobile: *
Organisation: *
Educational Qualifications with dates: *
(transcripts may be requested)
Specialised Psychotherapy Training course(s) completed: * (with dates)
Names of trainers: *
(with their email addresses)
Other relevant courses completed with dates: *
Membership of other Professional Bodies for Psychotherapy: * (with dates)
Current Psychotherapy practice hours per month: *
Date practice commenced: *
Areas of specialisation: *
Describe your practice in terms of collaboration with colleagues, medical doctors, peer and non-peer supervision arrangements, support and review: *
Name of current principle supervisor: *
Frequency of supervision: *
Email address of supervisor: *
   

Referees

You must supply the name and email address of 2 referees one of whom must be a medical doctor qualified to practice in the Republic of Ireland.

Referee 1 Name: *
Referee E-mail: *
Referee 2 Name: *
Referee 2 E-mail: *
   

Personal Statement.

(about 500 words) *

Describe your approach to psychotherapy, the extent of your experience, your interest in certain issues/client groups, your interest in primary care as a focus or starting point for psychotherapy and your reasons for applying to the IAPPC.

   
 
Enter the code exactly as you see it in the image: *
   
   
 
 

Please Note

This application is to join the IAPPC register of graduate accredited members. It is not an application for any form of membership which confers voting rights.

Membership is at the discretion of the IAPPC.

Membership numbers are limited by direction of the Board from time to time.

Fee payment will arise if your application is accepted. We will send you an email at that stage with full details in relation to payment of fees.

All transactions with the IAPPC of whatever kind take place online.


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