CCIH Trauma Fellowship Application
Thank you for your interest in being a CCIH Fellow! 

Please answer all the questions below. In the next section, you will also be asked to provide three references and e-mail a CV in order to complete your application.
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Email *
Full Name *
Home Address *
Phone Number *
How did you learn about our postgraduate fellowship program? *
What attracted you to CCIH's fellowship program? *
Wen would you like to begin your Fellowship? (Month/Year) *
Please highlight any specific training or experience you have that applies to our work at CCIH. *
What are your goals for this experience with us? (Please be as specific as possible, and list between 3 and 5 goals.) *
What have you been reading/listening to lately regarding trauma and attachment? *
At CCIH, we ground our work in four essential concepts: an integrated approach, an anti-oppression lens, awareness of the therapists' experience, and community formation. What are your reactions to each of these principles? *
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