Second and Third Year Practicum Application

If you would like to join the upcoming Practicum, please fill out this application.

Question Title

* 1. Contact Information:

Name

Email Address

Phone Number

Question Title

* 2. When did you participate in the last Practicum?

Question Title

* 3. What are your goals, intentions, or interests in this year’s Practicum?

Question Title

* 4. Have you participated in in-person trainings? If so, when?

Question Title

* 5. Have you participated in, or are currently participating in, group mentoring sessions? If so, about how many times?

Question Title

* 6. Have you participated in, or are you currently participating in personal mentoring sessions? If so, with whom and about how may times?

Question Title

* 7. Are you currently facilitating process painting or have you facilitated in the past? If so, give a brief explanation of your experience, including timeline, frequency, number of participants, and whether online or in person.

Question Title

* 8. Are you available to participate weekly in the January 26 - April 19th, 2024 Practicum?

Yes

No

Question Title

* 9. If so, do either Thursdays or Fridays work best? Or either?

Thursdays

Fridays

Either

Question Title

* 10. What do you need from us in order for you to take your next step in furthering your training?