Seminar Registration

Registration for Prepare/Enrich Training

Training Details
Training Type:
-
Date & Time:
Details:
Seminar Director:
Location:


Phone:
Price:

Materials
You will receive the following materials:
  1. DVD Lessons 1-7 + Couples Exercises
  2. DVD Lessons 8-12 + Couples Exercises
  3. CD Facilitators Manual & Training Material
  4. Directions for Administration
  5. Resource Guide
  6. Couple Workbook
  7. Facilitator's Report (sample)
  8. Couple's Report (sample)

Personal Information
First Name:
*
Last Name:
*
Preferred Title:
Address:
*
Address 2:
City:
*
Prov:
*
Postal Code:
*
Phone:
*
Home:
Email:
*
Place of Employment:
*
Occupation:
*
Counseling
Degree Specialization:
Degree Attained:
*
Professional Certification:
Couples Counseling:
 experience in years*
Approximate Number of Couples seen per year for:
Premarital:
Marriage:
Family:
Working with Couples:
 years*
How did you hear about Prepare/Enrich? *
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