Foundational training application form

SPEAKS Foundations Training

October 8th, 9th and 10th 2025

Online form for those signing up for Foundation Training in Emotion Focused and Schema Therapy for Anorexia (SPEAKS)

Applicant Information

Name(Required)

First Last

Date(Required)

The date you are completing this form

Email(Required)

Country(Required)

Country

Highest level of practitioner training(Required)

(e.g. clinical psychologist, psychotherapist)

Institution(Required)

Date of Qualification

Address For Invoicing (invoice will follow after booking form is submitted)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Current Work Setting

Job Title(Required)

Employer(Required)

(e.g. name of NHS trust, private practice)

Client Group and Psychotherapy Modalities

To ensure we best tailor the training to the needs of the group, please tell us a bit about the client diagnoses/presentations you most commonly work with

To ensure we best tailor the training to the needs of the group, please tell us a bit about the therapeutic modalities you most frequently employ, including any Emotion Focused Therapy or Schema Therapy experience

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October 8th, 9th and 10th 2025

Applicant Information

Current Work Setting

Client Group and Psychotherapy Modalities

Confirmation

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