Certificate Program in Spiritually-Informed Psychotherapies – Application & Instructions

APPLICATION

2018 Certificate Program in Spiritually-Informed Psychotherapies

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Date *

Your Full Name *

Mailing Address *

City *

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Zip Code *

Phone Number *

Fax Number

Email Address *

Current school/continuing educational program (if applicable)

Prospective date of completion

Number of Hours of Instruction

Professional Title (check all that apply)

Health Care Professional

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Physician

Mental Health Counselor

Psychologist

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Upload your Statement of Purpose (approximately 500 words) addressing your purpose and interest in pursuing the program, how the program fits into your overall academic, professional, and/or personal goals. *

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APPLICATION REQUIREMENTS

Application due by Friday, June 11, 2018 and must include:

• Completed application form (submitted online)
  
• $40.00 nonrefundable application fee
• Statement of purpose (approximately 500 words) The statement of purpose should address your purpose and interest in pursuing the program, how the program fits into your overall academic, professional, and/or personal goals.
• A résumé or CV with specific mention of education, credentials, and experience

Please submit the material electronically or print this PDF version of the application and mail it with a $40 check to PSI to our program coordinator:

Jessica E. Heller, MPS, ATR-BC, LCAT
Psychotherapy & Spirituality Institute
120 Broadway 38^th Floor
New York, NY 10271

Method of Payment:

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Upon acceptance, students will receive registration information and be required to provide a deposit of half of the tuition to reserve a spot in the program.  The remaining balance of the tuition must be paid in full on the first day of class, held June 13, 2018. 

Contact Information

Jessica E. Heller, MPS, ATR-BC, LCAT
Psychotherapy & Spirituality Institute
120 Broadway 38^th Floor
New York, NY 10271
212-285-0043 ext. 124
jheller@mindspirit.org