APPLY Institute of Relational Therapy Programs E Relational Gestalt Therapy E Scientist-Practitioner Model PhD E Family & Couples Therapy E Supervision Training E Gestalt Group Therapy E Residential Retreat All programs including the workshops require the applicant to send in a Statement Of Purpose. This will be reviewed by faculty and you will be intimated in a week’s time if you have been selected for the workshop/program. Application Name Age Cell Number Email Address Program Applying For Program Applying ForGT IntensiveRGT BasicRGT IntegratedScientist-Practitioner Model PhDFCT Murray Bowens SystemsCouples & Family Therapy AdvancedSupervision TrainingGestalt Group TherapyResidential Retreat Educational Qualifications Are you working in the field of Mental Health Are you working in the field of Mental Health Yes No Number of Years Are you in Personal Therapy Are you in Personal Therapy Yes No Number of Years Are you in Supervision Are you in Supervision Yes No Number of Years What do you see as your Strengths What do you see as your Weaknesses Why do you want to train with IORT How would this training be helpful to you How can you add value to IORT Statement of Purpose (250 words) 12 + 10 = APPLY