Registration Application

Registration Application

Please follow the prompts on this Registration Application to tell us a little about yourself, upload required and supplemental documents, and select a payment option for your training.

If you have any questions along the way, send us a message and we will be happy to help!

Once the Registration Application and Participant Agreement are received, we will send you a confirmation email within 3 business days.

Registration Application

  • Registration for: Fall 2020 Basic Training in EMDR Therapy, Online Live Webinar

    Dates: September 19-20, October 17-18, November 14-15, December 12-13, 2020

    Required Registration Documents -- please upload the following required documents:

  • - Current CV
  • - Copy of Professional License

  • Supplemental Registration Documents -- please upload all applicable documents:

  • - Proof of prior EMDR Basic Training (Reviewers only)
  • - Pre-Licensed Verification Letter -- Applicant
  • - Pre-Licensed Verification Letter -- Clinical Supervisor
  • - Pre-Licensed Verification Letter -- Managing Supervisor
  • - Nonprofit Employment Verification Letter -- Employer
  • Drop files here or
    Accepted file types: pdf, png, jpeg, docx, docm, dotx, dotm, dotb.
  • PAYMENT OPTIONS -- please select one of the following payment options:
  • Early Registration — Prior to August 1, 2020 — Licensed
    • Installments: $1530 ($510 initial deposit, plus 2 future installments)
    • Single Payment: $1500
    Early Registration — Prior to August 1, 2020 — Nonprofit or Pre-licensed
    • Installments: $1380 ($460 initial deposit, plus 2 future installments)
    • Single Payment: $1350
  • Standard Registration - Licensed
    • Installments: $1740 ($580 initial deposit, plus 2 future installments)
    • Single Payment: $1700
    Standard Registration — Nonprofit & Pre-licensed
    • Installments: $1530 ($510 initial deposit, plus 2 future installments)
    • Single Payment: $1500
  • $0.00