SoulCollage® Facilitator Training-CE Request Form

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The SoulCollage® Facilitator Training authorizes you to use the SoulCollage® method according to the Principles of SoulCollage® with clients as a part of your licensed practice.

SoulCollage Inc. is approved by the California Association of Marriage and Family Therapists to sponsor continuing education for LMFTs, LPCC, LPC, and LCSWs. SoulCollage Inc. SoulCollage Inc. (Provider #133654) maintains responsibility for this program and its content. Course meets the qualifications for 24 hours of continuing education credit for LMFTs, LCSWs, LPCCs, and/or LEPs as required by the California Board of Behavioral Sciences.

Although SoulCollage® is licensed for its courses to apply only for holders of California licenses: LMFT, LCSW, LPCC, LEP, holders of these licenses in other states have sometimes had success in persuading their Boards to allow these CEs to apply to their continuing education requirements.

The agency (CAMFT) which approves our CE provider license gives us permission to provide CEs that meet Continuing Education requirements for California therapy licenses, LMFT, LCSW, LPCC, LEP, but not licenses in other USA states. For CE hours in other states or licenses, you may submit the documentation provided to you to your local board for consideration of these hours for your own license requirements.

Art Therapists – The ATCB (Art Therapy Credentials Board) has for a long time accepted SoulCollage® Facilitator Training CEs for continuing education credit for ATR-BCs, because these courses were accepted for continuing education credits by the California Board of Behavioral Sciences mental health licensure board for LMFTs, LCSWs, LPCCs, and LEPs. Participants who need CEs for ATR-BC licenses, please check with the ATCB.

If you have reason (e.g., you are a student or hold a different license) to request a Continuing Education Certificate, we are able to supply that Certificate for 24 class hours of education, but we cannot assure that it will be accepted by any other entity other than the Board of Behavioral Sciences of California.

Before requesting CEs please review the information page located on our website HERE

Email *

Acknowledgement *

I acknowledge that by submitting this form, I have read and understand the terms and limitations of CEs offered for SoulCollage® Faciltator Training on our website at: https://soulcollage.com/training/online-facilitator-training-ces/

Required

Name *

Training Start Date *

YYYY

Trainer Last Name (Pick all that apply) *

GIVEHAND

NESBITT

MARCIL

SIRABELLA

Required

Professional License Type *

LMFT

LCSW

LPCC

LEP

Other:

Licensing Board *

California Board of Behavioral Sciences

Other:

Payment and Policies

Fee: The fee for CEs is $50.00.

Payment: A PayPal money request will be generated once this form has been submitted. Payment for CEs must be made prior to the first session of the Training.

Refund Policy: Fees for continuing education credits (CEs) are non-refundable in all circumstances, and cannot be applied to future Training

Certificate of Completion: A Certificate of Completion will be awarded if all online sessions of the Training have been attended (as verified by taking of the roll) and after all homework for the course and a completed evaluation have been received. When these conditions have been met, a digital certificate awarding 24 CEs for the SoulCollage® Facilitator Training will be delivered.

Attendance: The Training consists of eight live Zoom sessions. Each session will be 3.5 hours in duration. Presence at all the eight live sessions, active participation in all the activities, and completing the homework for each session is required.

A copy of your responses will be emailed to the address you provided.

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