Instructions & Information

• Complete this form and click the "Submit" button in the upper right corner of the page
  

• Dr. Turner reviews each application to ensure that participants are prepared for the course
  

• Dr. Turner will respond to each application within 1 week
  

• When your application is approved, you will be sent a link for course fee payment
  

• Please note that prior training in sandplay is NOT required for Sandplay I
  

Training  Application Form

Do you have sandplay case material from your practice that you would like to share during the 21 hour training "Application of Principles & Theory to Participant Case Work?" Each presenter will make an informal presentation of work from his or her practice from which the group will study. Please describe nature of case + no of slides

Contact Temenos Press

Learning Center or

Barbara A. Turner, PhD

PO Box 305

Cloverdale, CA 95425

Phone    707.894.1890

Fax       707.894.4474

Email  drbarb@barbaraturner.org

Confidentiality Agreement

By assigning my name hereunder, I agree that if I am accepted to participate in the training(s), I will uphold the highest standards of professional confidentiality, adhering strictly all all times to all laws and ethics governing the protection of client confidentiality. I agree to disguise any and all identifying information during case presentation, and I agree that I will hold confidential any and all clinical material shared during the course of case presentations.

I acknowledge that such intensive study of unconscious material requires significant personal growth and transformation and affirm that I am sufficiently physically fit & emotionally sound to undertake this training. I agree to remain responsible for my own well being throughout the training.     

Name & Date                                                         

                      Please list any sandplay case consultation you have done

                               with whom, dates & type (individual or group)

   Please list all sandplay courses you have taken, with whom & approximate dates

        Please describe your clinical experience in mental health - setting

                         years of experience, populations served, etc

               Please list your education, degrees & clinical license status

     Please Indicate Which Training(s)                      You Are Applying For August 9 -  20, 2010 __________ March 7 - 18, 2011  ___________ 5-Day Personal Sandplay Process _______