PRINCIPLES AND PRACTICE OF

SYSTEMIC CONSTELLATION WORK
 TRAINING PROGRAM

 

ENROLMENT FORM

 

NAME___________________________________________

 

 

ADDRESS________________________________________

 

PHONE__________________________________________

  

EMAIL ADDRESS________________________________________

 

 

OCCUPATION____________________________________

 

CURRENT EMPLOYMENT___________________________________

 

PREVIOUS EXPERIENCE OF SCW        YES       NO

 

IF YES, PLEASE DESCRIBE________________________________________

 

_________________________________________________

 

_________________________________________________

 

 

I have read the Course Structure & Requirements, 
I consider the Course to be suitable for me and wish to enroll.

 I accept responsibility for my personal process & well being during the course.

 

I understand that it is my responsibility to limit the application of this approach to those clients and situations for which I have appropriate knowledge, experience & qualifications.

 

Please find a deposit of             enclosed as a (please tick):

 

Cheque payment        ⇒
Electronic transfer        ⇒

 

SIGNATURE:_____________________________________