Application for the Certificate in Integrative CBT

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Please complete the form below in order to apply for the Certificate in Integrative CBT.

Apply for Certificate in Integrative CBT

Phone

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Are you still studying?(Required)

Start Date for Diploma(Required)

Current Stage(Required)

Please note that materials will be added to your library once Stage 2 is completed. Please do not apply if you haven’t completed Stage 2.

I have the Diploma and:(Required)

Level of Assessment(Required)

To study and qualify for the Certificate in Integrative CBT you need to complete the assessment at Level 5. Please confirm you acknowledge this requirement.

I confirm and understand

Do you wish to take the Live Workshop with Daniel Mirea?(Required)

YES

If yes, please choose from the following dates:(Required)

Additional Information(Required)

Please tell us why you wish to apply for this additional certificate.