Fundamentals of Psychoanalytic Thought and Practice Application Form

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Academic year applied for *

The academic year starts in September, please state which year you would like to begin your training.

Course/s applied for. *

Classical Freudian Theory (3 x 10 week terms)
Work Discussion Group (3 x 10 week terms)
Infant Observation (6 x 10 week terms)
Introduction to Psychoanalytic Theories and Concepts (2 x 10 week terms)
Contemporary Klein (2 x 10 week terms)
Insiders and Outsiders (5 sessions)
Research Evidence in Psychoanalytic Therapies (10 sessions)

Please say why you would like to do the course/s for which you are applying, giving brief relevant details of your experience, work and/or interests. *

What knowledge and/or experience do you have of psychoanalytic theories and concepts? *

Please provide details of any personal therapy (you do not have to disclose the name of your therapist). *

Please provide details of education and any professional training *

Please provide details of your work situation and brief details of your work history *

Please tell us of any previous/existing personal/professional relationships with anyone associated with Severnside Institute for Psychotherapy.

Training Fee Payment Terms

Deposits for Infant Observation and Insiders and Outsiders are due when an interview is arranged. If the candidate is not offered a place their deposit will be refunded less an administration fee of £60
Deposits for all other courses are due when an offer is made and are non-refundable.
Course fees must either be paid, or a payment arrangement agreed, prior to the start of the course applied for.
Please note that we are a small organisation offering specialised training and operating on tight margins, and by accepting your place you have entered into a contractual agreement to pay the full amount of fees for the academic year, which will remain due even if you decide not to complete it.
Any offer of a place is subject to satisfactory references, if required.

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