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Nominations for the CAPT Board
About You
*
1.
Name
(Required.)
*
2.
Email address
(Required.)
*
3.
Length of time as a CAPT member
(Required.)
Less than 1 year
1-5 years
5-10 years
More than 10 years
*
4.
Are you a member of a regulatory college/association?
(Required.)
Yes
No
*
5.
Are you in good standing with your regulatory college/association?
(Required.)
Yes
No
*
6.
What does psychodynamic therapy mean to you?
(Required.)
*
7.
What are your goals for joining the Board?
(Required.)
*
8.
What's your vision for CAPT?
(Required.)
*
9.
What are your thoughts on advocating for and promoting psychodynamic therapy?
(Required.)
*
10.
Please provide an overview of your psychotherapy training and practice experience.
(Required.)
*
11.
What skills or experience do you have (within or outside the profession) that would be of value to CAPT?
(Required.)
*
12.
What personal qualities can you bring to the Board?
(Required.)
*
13.
Have you sat on any other boards? If yes, what were your contributions to that board?
(Required.)
14.
What other questions do you have regarding the Board position?
Thank you for applying!
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