Western Pennsylvania Family Center


WPFC Distance Learning Course

ON LINE SELF-STUDY COURSE
BOWEN FAMILY SYSTEMS THEORY (BFST)


Application Form   
To apply, complete the application form and click the submit button.
Name:
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Date of Birth:
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PROFESSIONAL AFFILIATION (Check all that apply)
Clergy
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Student
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EMPLOYMENT BACKGROUND
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PREFERRED METHOD OF CONTACT (Check all that apply):
Work Phone Home Phone
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DO YOU CURRENTLY WORK WITH FAMILIES?
Yes       No

If yes, what ideas or assumptions help you to conceptualize your cases?
FAMILY THERAPY EDUCATION
List previous family theory courses and where taken.
COURSE: WHERE TAKEN:

HAVE YOU PREVIOUSLY TAKEN A COURSE IN BOWEN FAMILY SYSTEMS THEORY?
Yes       No

If yes, please complete the following:
  1. When was your first contact with Bowen Theory?
  2. When and where did you take a course?
  3. What did you learn?
  4. Has Bowen Theory been useful to you in your personal and work life?
    Yes       No
  5. If yes to (d.) describe how
  6. Describe your current thinking about the significance of seeing the family, not the individual as the primary unit of service?
ONLINE COURSE INFORMATION
Have you taken other courses online?
Yes       No
Have you completed online courses?
Yes       No
If yes, list them and describe the experience of learning in the format
What are the advantages and disadvantages for you in taking an online course?
How will your thinking be enhanced or impeded in an online medium of study?
How might learning via this medium affect your motivation?
What difference do you anticipate in the relationship with the instructor in the medium from an in-person teaching format?
POTENTIAL COURSE IMPACT
It is likely that learning to think in a systems framework will raise anxiety/emotional reactivity on your part.
  1. How do you typically manage anxiety?
  2. How do you anticipate managing anxiety within this medium?
  3. You will be asked to look at your own family as a part of this course. Do you foresee any special difficulties or advantages to doing so via the online medium?
  4. What kinds of triangles might arise in learning within an online medium?
  5. What kinds of triangles might arise in learning within an in-person classroom setting?
COURSE INFORMATION
How did you learn about this self study course? Check all that apply.
WPFC Course Catalog
Person associated with WPFC
Through WPFC website
Online URL - please identify:
Professional publication - please identify:
One of the Bowen Centers - please identify:

What are your reasons for applying at this time?

What specific goals do you think taking this self-study course will help you achieve?

What is the likelihood of your finishing this course?

What may interfere with your completing this course? What difficulties do you foresee?

Write a short description of your family including the family you were born into (your family-of-origin) and the family you have formed (nuclear family) or current relationships.
  • Include as many generations as you can in this description.
  • Include your current understanding of typical kinds of interactions which occur in your family/relationship network, as well as the level and intensity of contact between the members of your family system.
  • Include the following in your description:
    1. Dates of birth, marriage, divorces, deaths for as many generations as you can.
    2. The frequency of contact between members.
    3. Typical patterns in your family.
Please type the text you see in the image






Western Pennsylvania Family Center
733 North Highland Avenue
Pittsburgh, PA 15206
 P-412.362.2295 | F-412.363.2489
INFO@WPFC.NET


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