Continued Basic Seminar Application

Applications for the Basic Seminar are due before August 23, 2022.

Once you've submitted your application, please email the course organizer, Cynthia Larkby, PhD, ACSW (clarkby@icloud.com) to confirm your submission.

Contact Information

Name(Required)

First Last

Address(Required)

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

Email(Required)

Phone(Required)

Professional Affiliation

Employer(Required)

Job Title(Required)

Check the boxes that best describe your professional background:(Required)

Clergy

Educator

Family Business Member

Medical Worker (e.g., nurse, physician, physician’s asst., etc.)

Mental Health Worker (e.g., counselor, psychiatrist, psychologist, social worker, etc.)

Organizational Consultant

Student

Other (please specify in space provided below)

Other professional experience.(Required)

Looking back over your experience of studying Bowen theory and applying it to the research of yourself-in-system, what learning has been most significant for you?(Required)

What areas of learning do you want to pursue during an additional year of the WPFC Basic Seminar in Bowen Theory?(Required)

How will you work toward your objectives for learning?(Required)

Application Fee

Price:

Total

Credit Card

Card Details

Cardholder Name

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