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* 1. Please complete the following 

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* 2. Do you have 2-5 years postgraduate experience in counselling, psychotherapy, clinical social work or a related field? Are you currently supervising? or thinking about starting? Please describe your experiences.

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* 3. Are you registered with a professional association and/or a regulatory body? Please list all professional associations/and or regulatory bodies you belong to:

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* 4. We will meet Fridays from Sept 30-Oct 28th 2022 from 10am-1pm EST. Are you able to attend all 5 weeks of online group meetings (via zoom)?

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* 5. The course fee is $599 + HST ($676.87) and registration will be complete upon receipt of payment. How do you wish to pay?

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