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Form-reg-ISP - Instytut Terapii Psychosomatycznej
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Registration Form
Welcome to the registration form for the ISP training, scheduled to start on November 7-10, 2025. Please carefully complete all entry and selection fields and then click the SEND button.
* boxes obligatory to fill in
Your given name
*
Your family name
*
Address for correspondence
*
Contact phone number
*
Your e-mail address
*
Please select one of the categories describing your education from the list below
*
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master's degree plus post graduate diploma studies or PhD
master's degree
bachelor's degree
secondary education
Please specify your level of education (confirmed by a university degree)
*
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psychology
pedagogy
other humanities
social sciences
biological sciences and medicine
technical sciences
other
You can add an additional comment here
Are you currently working in a profession related to providing any psychological support?
*
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YES
NO
Please list any additional skills / competences you have acquired through participation in trainings, workshops, courses, etc. (course name, number of hours)
*
Do you have practical experience in therapeutic work? Please describe it in a few sentences
*
Please describe in a few sentences why you want to participate in our training course
*
If you need an invoice for participation in the training, please provide the invoice data (name, address, tax id number). Without this information provided prior to payment, we cannot issue an invoice
Consents and declarations
Declaration
*
I declare that I have read and understood the Terms and Conditions of Participation in the Course and accept its provisions
Consent for data processing - recruitment
*
I consent to the storage and processing of my personal data provided in the online registration form for the purpose of conducting the recruitment process for the course organized by the Institute of Psychosomatic Therapy
Consent for data processing - promotion
I agree to receive by email information about the training offers of the Institute of Psychosomatic Therapy
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