Sandtray Therapy Institute

Application for Intensive Sandtray Therapy Training-Level I Certification

Fall 2009

Application due by August 19, 2009. Copy this file and use as a template for your application.

Name_________________ Address___________________________________

Email_________________ ___________________________________

Phone________________

Please respond succinctly to the following and attach your résumé or vita with email and telephone contact information.

List and describe your professional experience

· Licenses/Certification

· Number of years of mental health experience

· Current work setting

Tell us about the clinical training you have had (i.e., University courses, workshops, conferences, other supervision experiences, etc.) Tell how many contact hours were earned in each experience. Include names of professionals you trained under and dates of training. If you are a student, you must have completed a practicum to be accepted into the training.

Part of the training involves creating your own sandtray scenes and processing the scenes with a partner. Are you willing to self-disclose some things about yourself? The training stresses self-awareness and personal growth.

Are you working towards becoming a Registered Play Therapist?

Tell us about your theoretical orientation and rationale in utilizing this theory with young children in play therapy.

What are your goals for this Intensive Sandtray Therapy Training?

Email completed application as a Word 2003 compatible file to: steve_armstrong@tamu-commerce.edu