PRI, live life from love, compassion and connection
Introduction Workshop form
  1. Note A red asterisk(*) means that input is mandatory.
  2. First Name and Surname(*)
    Please enter a valid value for: First Name and Surname
  3. Home Address(*)
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  4. Post Code(*)
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  5. City /Town / Village(*)
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  6. Country(*)
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  7. Phone number (home/work)(*)
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  8. E-mail Address(*)
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  9. Gender(*)
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  10. Date of Birth(*)
    Please enter a valid value for: Date of Birth (dd-mm-yyyy)
  11. What is your training background? in (current and past, including non-finished courses))(*)
    Please enter a valid value for: Training
  12. Which books written by Ingeborg Bosch have you read?(*)
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  13. What is your current job or profession?(*)
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  14. Organisation you are associated with.(*)
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  15. Since when?(*)
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  16. Describe your current tasks(*)
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  17. Do you have an official registration? If yes in which professional field?(*)
    Please enter a valid value for: BIG registration(s)
  18. How many hours each week do you spend on actively helping people in the function of mental health care professional.(*)
    Please enter a valid value for: How many hours each week
  19. Do you have experience with PRI as a client? Can you describe this?(*)
    Please enter a valid value for: Experience with PRI as a client
  20. Do you have experience with PRI in your work? What kind of experience?(*)
    Please enter a valid value for: Experience with using PRI in your work
  21. Why would you like to participate in the Introductory Workshop?(*)
    Please enter a valid value for: Why would you like to participate
  22. Are you considering enrolling in the 4-year training programme?(*)
    Please enter a valid value for: Are you considering enrolling
  23. How would you like to integrate PRI in your professional life?(*)
    Please enter a valid value for: PRI Integration in your professional life
  24. Remarks / Questions?
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  25. By submitting this form I hereby confirm that I have filled in all requested information truthfully and agree with the clauses.
  26. I Agree(*)
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