EFPP | Application Form Child & Adolescent Section

Date of application: *

Country: *

Section: *

Child & Adolescent Section
Group Section
Adult Section
Couple & Family Section

Name of network or Association: *

Address of Association: *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Name of contact person: *

First

Last

Address of contact person:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email: *

Questionnaire for all sections

1. Are you applying for: *

Full membership
Associate membership
Observer status

(Please tick as appropriate)

2. Full membership:

How many members do you have in your national network who have completed a training in psychoanalytic psychotherapy that correspond to the training standards of the EFPP for that section?

Number of members: *

Do you have at least 6 members in your association who have reached the minimal training standards? Please give their names, the name of the Associations where they received training and their qualification dates.

Name *

Association *

Qualification Dates *

Name *

Association *

Qualification Dates *

Name *

Association *

Qualification Dates *

Name *

Association *

Qualification Dates *

Name *

Association *

Qualification Dates *

Name *

Association *

Qualification Dates *

Please give us information about the personal training therapists you use in your training, Are they psychoanalytical psychotherapists and/or IPA psychoanalysts? *

Number of members: *

3. Associate membership

Has your association not yet reached the training standards of the EFPP? *

Yes
No

Number of members in your association fewer than 6 who may have achieved these standards? *

Can you tell us in what areas you still have to achieve these standard? *

4. Observer status

Observers are from those countries and sections who are at the first stage of developing psychoanalytic psychotherapy and who are considering whether they are at a stage to apply for membership of the EFPP.

Can you tell us something about your country and section and your plans for developing psychotherapy? *

Questionnaire which encompasses all the EFPP Child and Adolescent Section bylaws

Please will you verify that your training encompasses all of the following items. Please do so by filling in boxes saying yes or no and adding additional clarification regarding the manner in which you conduct your training.

1. Is your training undertaken by an organisation with training as one of its specific purposes? *

Yes
No

Additional clarification regarding the manner in which you conduct your training.

2. Do you have a register of members and trainees, which defines those who are entitled to practice as qualified child psychoanalytic psychotherapists? *

Yes
No

Additional clarification regarding the manner in which you conduct your training.

3. Does your training organisation have a training committee that evaluates the suitability of applicants and checks their prior academic qualifications? *

Yes
No

Additional clarification regarding the manner in which you conduct your training.

4. Does your training committee continuously monitor the trainee’s progress on the basis of verbal, and/or written reports from supervisors and teachers throughout the training? *

Yes
No

Additional clarification regarding the manner in which you conduct your training.

5. The EFPP Child & Adolescent section recognises the following minimal criteria for qualification.

Please fill in boxes below, ticking – yes/no. If necessary, supply additional information.

Duration of Training A minimum of four/five years training course: Do you meet this requirement? *

Yes
No

If necessary, supply additional information.

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