APPLICATION FOR EMDR TRAINING

Please type or complete in block capitals. If your employer is paying, please see page 2

Full name (to appear on certificate).
Preferred name (if other than above).
Full Address
E-mail
Phone / Mobile Phone
How did you hear about EMDR Works?
Core mental health profession

(See attached document “Eligibility to train”) .

Professional accrediting body
Accreditation number

SELECT YOUR VENUE/S AND DATES

Part 1 / Part 2 / Part 3 / Part 4
Venue
Date

Tel: 020 8441 2457Email:Web:

COSTS (all prices include VAT)

Booking for One, Two or Three Parts Individually / Sub-total
Full price per part / £414
Early booking discount (Bookings received 4 weeks or more before training date). / £390
Booking for Part 4 only or Other 1 Day Training
Full price per part / £207
Early booking discount (Bookings received 4 weeks or more before training date). / £195
Booking all Four Parts together (including 10 hours supervision) - 5% discount
Full price with discount / £1,389.00
Additional early booking discount (bookings received 4 weeks or more before Part 1) / £1,296.76
TOTAL

PAYMENT OPTIONS

  • Employer’s address for invoicing. (Employers written confirmation requires – see Terms & Conditions)
  • Bank transfer to EMDR Works Ltd  Please tick box

Sort Code:- / 40-40-01 / Account Number:- / 52196212 / Ref:(Your Name):-
  • Pay by credit/debit card

Amount
Card Holder’s Name
Card Number
Start Date / Expire date / Security Code
Card Holder’s Signature
  • I enclose a cheque (Payable to EMDR Works Ltd)

Amount
Please tick
I have read and accept “Terms and conditions” below
I have read and understand “Eligibility to train” below

POST THIS FORM AND PAYMENT DETAILS OR EMPLOYER’S CONFIRMATION OF PAYMENT TO:

EMDR Works Ltd, 31 Chiswell Green Lane, St. Albans, Herts AL2 3AJ

Tel: 020 8441 2457Email:Web:

TERMS AND CONDITIONS

Payment policy:

  • Payment must be received with a completed application form prior to the training date to ensure a place, subject to terms and conditions.
  • * If an employer is funding your training we require written confirmation from them of their undertaking to pay, subject to the terms and conditions set out below. This confirmation should accompany your application form, with a purchase order or requisition number to be quoted on the invoice, where applicable.

Change of venue or date:

  • You may transfer to any other training within EMDR Works (Bristol, Edinburgh or London) free of charge up to 4 weeks prior to your training. After that a £60 administration charge (£50.00 + VAT @ 20%) will apply.

Cancellation policy:

  • Cancellations must be made in writing, either by post or email. When a cancellation is made more than six weeks prior to the training date, the applicant is entitled to an 80% refund. Cancellation between four and six weeks prior to training date entitles a 50% refund. No refunds can be made when a cancellation is made less than four weeks prior to the training. If EMDR Works postpones or cancels a training session, a full refund will be given or alternative dates arranged.

Training requirements:

  • There shall be at least eight weeks between training parts to allow for practice and supervision, according to regulations set out by the accrediting body, EMDR Europe.

ELIGIBILITY TO TRAIN

EMDR training is only available for mental health Mental Health practitioners who are accredited members of a recognised professional body. Here’s how to know if you qualify or not.

Are you a core mental health professional?

  • This includes any of the following fields: psychiatry, psychology, mental health nursing, or social workers who have mental health training. If you fall into any of these categories, you qualify for our EMDR courses.

Are you a trained psychotherapist or counsellor?

  • If you are, and you are also fully accredited by UKCP, BACP, BABCP, IACT, FDAP, BSCH, MCS (Acc) or another recognised accrediting body, you qualify for our courses.

Are you an accredited occupational therapist or art therapist?

  • If you are one of these, and you also have sufficient training and experience working in mental health, you may qualify for our courses. You will need to submit evidence when applying.

Are you a General Practitioner?

  • If you are registered with the GMC, and have psychotherapy experience, and are accredited or working toward accreditation, you will qualify.

Are you in your final year of accreditation as a therapist?

  • You may be eligible if you can prove you will complete your accreditation before you commence part 3. We would require a letter of confirmation from your Supervisor to say how many supervision sessions you have received so far and to confirm that you are already in the process of becoming accredited by your professional organisation and would be able to complete this before commencing Part 3 of our EMDR training.

Other accredited therapists

  • If you are not included above, but have exceptional experience in working with trauma, you may ask to be considered by submitting your CV. If you are not sure please email or phone the number below.

Tel: 020 8441 2457 Email: Web:

Registered Company No: 07029951 VAT No: 98108081

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