WRAP® Facilitator Training Application for 2020

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Thank you for your interest in becoming a WRAP Facilitator. Please fill out the following questions so that we can register you for our upcoming class in 2019. The Copeland Center looks forward to seeing you there.

Applicants are expected to have completed ONE of the following:
1. Seminar I: Developing Your Own WRAP (16+ hours)
3. The Correspondence Course

The tuition for WRAP Facilitator Training is $1300

Email *

Which training are you applying for? *

Fort Lauderdale, FL (2/24-2/28/20)

West Chester, PA (4/6-4/10/20)

Greensboro, NC (8/3-8/7/20)

Brattleboro, VT (10/19-10/23/20)

Other:

Required

First Name *

Last Name *

Name as you would like it to appear on your certificate *

Mailing Address *

Address 2nd Line

Apt #, Suite, etc

City *

State *

Zip Code *

Country *

Phone Number *

Have you completed a Seminar I: Developing Your Own WRAP class or workshop, or the Copeland Center's Correspondence Course? *

Yes

Required

If yes, when and where did you complete a Seminar I: Developing Your Own WRAP or Correspondence Course?

Who facilitated your WRAP class?

Have you written a WRAP or supported someone through writing a WRAP?

What is your reason for wanting to learn to facilitate WRAP® classes? *

Dietary needs during the training?

Emergency Contact *

Please list a name, phone number and their relation to you.

Send me a copy of my responses.

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