ONLINE APPLICATION FORM


2009 International Summer School in Psychotherapy

Sigmund Freud University, Vienna


1. PERSONAL INFORMATION

Last Name
First Name
Title
Gender
Date of Birth
Country of Citizenship


2. CONTACT INFORMATION

Mailing Address
Telephone Number
Email Address


3. COURSE SELECTION

Please select the Course you are applying for:
Course 1: Psychotherapy - Self Awareness
Course 2: Basic Principles in Psychotherapy
Course 3: Advanced Studies of Psychotherapy
Psychotherapy Research


4. ACADEMIC/ PROFESSIONAL BACKGROUND

Are you currently a student? If yes, please state at which institution.
Not a Student
Student: Institution


Please select the option that best describes your background



In the space below, please list your academic credentials, including institution(s) attended, dates, and degrees/certificates received. You may paste a text version of your CV, if you prefer.




5. PERSONAL STATEMENT

In the space below, please describe your interest in attending the International Summer School in Psychotherapy in Vienna. How is this program relevant to your goals? How will it benefit your professional and personal development?




6. HOUSING

Please select the appropriate option for the type of Housing you are applying for:
SFU Residence Hall: Shared Room
I do not require housing for the Summer School


7. TUITION

Please check the appropriate box to indicate how you are planning to pay tuition for the Summer School

I will pay tuition out of personal funds, funding from my own university, or external grants

I qualify for the Eastern European Scholarship, and will pay the remaining balance out of personal funds, funding from my own university, or external grants

I qualify for the Eastern European Scholarship, and in addition I am requesting further financial aid from SFU without which I will be unable to attend the program *

I do not qualify for the Eastern European Scholarship and have secured no other grants. I request financial aid from SFU without which I will be unable to attend the program *

*Applicants are reminded that SFU does not typically offer financial aid for the Summer School, except for the Eastern European Scholarship, and a select few occasional exceptions. Attendees are expected to secure their own funding, which is commonly available for these purposes from a variety of grant-giving bodies, including students’ own universities.