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Clinical Training Booking Request
Center for Creative Counseling Clinical Training Services
:
Please complete the form below to request clinical training services through the Center for Creative Counseling.
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Email
*
Your email
CONTACT INFORMATION
Your Name
*
Your answer
Company/Agency (if applicable)
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Do You Consent to Receive Text Communication?
*
Yes
No, thanks. I prefer email.
Do You Consent to Receive the Center for Creative Counseling email newsletter?
*
Yes
No, thanks.
Job Title/Professional Role
*
Your answer
TRAINING REQUEST DETAILS
Type of Training Requested
*
Training for Organization/Agency/Non-Profit Staff
Training for Group Private Practice Staff
Training for Corporate Employees
Training for an Event or Conference
Training for Non-Employee Mental Health Professionals
Other:
Required
Size of Training Group
*
Less Than 10 Participants
10-30 Participants
30-50 Participants
50-100 Participants
100+ Participants
I'm Not Sure At This Time
Other:
Required
Preferred Training
Format
*
Please select your preferred training format. Check all that apply.
Virtual (HIPAA-compliant platform)
In Person (Client responsible for providing hosting site)
In Person Training + Experiential Workshop (NOTE: Additional fee for workshop supplies)
Other:
Required
Preferred Training
Frequency
*
Please select all that apply.
One-Time Training
Weekly Training for Specified Timeframe
Bi-Weekly Training for Specified Timeframe
Monthly Training for Specified Timeframe
Training Series During Customized Timeframe
Not sure at this time.
Other:
Required
Preferred Training
Duration
*
Please choose your preference for the duration of each training.
1 Hour Block(s)
2 Hour Block(s)
3-5 Hour Block(s)
Other:
Required
Your Availability
*
Please identify your preferred training times. Check all that apply. [NOTE: The timeframes offered below are based on trainer availability.]
Monday Morning [between 9am-12pm]
Monday Afternoon [between 12pm-3pm]
Tuesday Afternoon [between 1-3pm]
Friday Afternoon [between 1pm-3pm]
Saturday (NOTE: Weekend trainings are billed at a higher rate)
None of these times will work and I would like to discuss other options.
Other:
Required
Existing Trainings On Offer
*
Please select any and all trainings you are interested in adding to your training package.
Using Expressive Arts to Process Pregnancy Loss
Working with Pregnancy Loss for Clinicians
Positive Parenting Approaches 101
Engaging Parents in Family Therapy
Art Therapy 101
Giving Difficult Feedback
Engaging Families in Treatment
Grief and Loss 101
Observational Feedback in Therapy
Art for Your Heart: Creative Self-Love Strategies for Moms
I don't require any of the above trainings at this time.
I'm not sure at this time.
Other:
Required
Other Available Training Topics
*
Please select any and all training topics for which you would like a custom training created for your training package.
Family Therapy/Family Systems Work
Parenting & Co-Parenting
Art Therapy
Grief & Loss
Pregnancy Loss
Women's Issues/Maternal Mental Health
Anxiety
Attachment
Trauma, PTSD, & Childhood Trauma
Giving Feedback
Clinical Documentation
Joining & Assessment
I Don't Require Training in Any of These Topic Areas
Other:
Required
TRAINING NEEDS
Please describe any additional training needs below.
*
What are your learning needs/goals?
What is the professional background/expertise/education level of the training participants?
What topic areas are you interested in?
What kind of training program do you need?
What questions do you have?
NOTE: Please do not include Protected Health Information in this request.
Your answer
A NOTE ON CONTINUING EDUCATION
:
Training through the Center for Creative Counseling may qualify for CE credit in certain jurisdictions, depending on your professional affiliation.
If you are interested in CE credit, please answer the questions below.
Are you interested in receiving CEU/CE credit for licensed professionals as part of your training package?
Your answer
If you work for a company, organization, or agency, are you aware of a standard submission process to request Continuing Education credit for your licensed staff?
*
Your answer
THANK YOU FOR YOUR REQUEST - CLICK SUBMIT BELOW.
Once you're booking request is received, someone from the Center for Creative Counseling will reach out to the email address provided within 48 hours to discuss scheduling and training package options with you. You may need to participate in a free 15 minute consultation. Thank you!
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