EMP Consultation Group Registration

Complete the form below to submit your registration for IBT Consultation Groups. If your registration is accepted, you will be notified via email and sent a link to complete payment. Payment must be received prior to the first session.

IBT Consultation Group Registration Form

Name *

Email Address *

Eligibility Criteria

You must meet one of three minimum criteria below to participate in the IBT Consultation Group. *Completed the nine-week C-DBT class at Crown Family School of Social Work Policy and Practice.Completed the eight month C-DBT fellowship program via Crown Family School of Social Work Policy and Practice.Completed one year in the EMP C-DBT seminar.

Please provide the year and quarter you completed the C-DBT class at Crown School. *

Please provide the year of completion of your C-DBT fellowship at Crown School. *

Please provide a copy of your certificate of completion of the C-DBT fellowship at Crown School.. *

No file chosen

Please provide the year you completed the C-DBT seminar at EMP. *

Supervision Sessions

Participating in supervision sessions can reduce your fee for the IBT Consultation Group.

If you participate in one individual supervision with Paul Holmes per month, you will receive a 50% discount on the consultation group registration fee.
If you participate in supervision for two or more weeks per month, the consultation group registration fee will be waived.
You are still welcome to join the consultation group without participating in supervision.

Please indicate here if you are interested in participating in supervision with Paul. *YesNo

How many sessions would you like to participate in each month? *

Please share your degree. *

How many years have you been in practice?

Where do you practice? *

Are you licensed? *YesNo

EMP Consultation Group Registration

IBT Consultation Group Registration Form

Eligibility Criteria

Supervision Sessions

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