Course 3 Application - Christian Psychology Institute

Interested in Joining Our Upcoming Theology for Counseling – Part 1 Course?

Complete and submit the form below and we will review your application.

Presents a theological foundation for therapy rooted in the Trinity, the Christian story, Created Goodness and the realities of sin and suffering, based on God and Soul Care.

Instagram

This field is for validation purposes and should be left unchanged.

Email(Required)

Full Legal Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Educational Background (Optional)

College Degree(Required)

Master's/Doctoral Degree (If Applicable)

Certifications (If Applicable)

Have you taken any classes or seminars in Psychology? (If Applicable)

Employment Background (Optional)

Relevant Past Employments & Volunteer Positions

Current Employment(Required)

Professional Title

Organization/Practice Name(Required)

What is your primary area of focus in your practice? (e.g., counseling, psychiatry, social work, school psychology)(Required)

How many years have you been practicing in the field?(Required)

Are You Currently Licensed?(Required)

Yes

What populations do you primarily serve?

Interested in Joining Our Upcoming Theology for Counseling – Part 1 Course?

SUBSCRIBE TO OUR NEWSLETTER