Training Registration
Please refer to the Training Details page prior to submitting your registration.
The EMDR Institute training is an internationally recognised and certified training.

To register for an EMDR Institute training, please complete the details below and forward a copy of your qualifications to the address given.
Verification of qualifications has become necessary as there have been instances of people misrepresenting themselves in order to attend the training.

Please note that registration is not complete until payment has been received.
Payment may be made by cheque or via credit card over the phone.

Contact:
Ph: (03) 5229 5564 or make cheques payable to:
Associated Psychology Services,
P.O. Box 409,
Geelong, Vic. 3220

Course Details
   Course:
 
Contact Details
   Title:
   First Name:
   Surname:
   Profession: Psychology    Psychiatry    Social Work    Counsellor**
Other       Please Specifiy:

** NOTE: A minimum of four-year qualification is required.
   Education:
   Address you
wish to have
registered on
the web site:
   Postcode:

Please Note:
a change to the registered data
will attract a $25 data entry fee.
   Phone:
   Email address:
  
Weekend 2 Applicants:
   Name of Supervisor/s:
   Note:

Weekend 2 applicants will need to fax a copy
of their completed supervision sign-off forms to:
"Associated Psychology Services"
Fax No. 03 5229 0449