Complete Basic Training in EMDR
February 10, 11, & 12, 2012 First weekend
March 23, 24, & 25,
2012 Second weekend
*see below for consultation dates
Course Trainer: DaLene Forester, PhD, MFT
EMDR International Association Approved Consultant and Trainer
This
is the complete EMDR Basic Training approved by EMDRIA, formerly
known as Level I and Level II, including an additional 10 hours on consultation.
Participants will learn the EMDR psychotherapy approach, the basic
eight-phase EMDR protocol, the Adaptive Information Processing Model, and how to incorporate EMDR into your practice.
This course will consist of didactic presentations, demonstrations, supervised practicum, and case consultations.
Participants
must attend the full training and attend five 2-hour consultation groups to receive a certificate of completion in
EMDR Basic Training. Approval of partial programs will not be granted.
Required reading: Eye Movement Desensitization and
Reprocessing: Basic principles, protocols, and procedures, second edition, by Francine Shapiro, PhD, EMDR originator.
Qualifications
for Attendance: A clinical background is essential for the effective application of EMDR.
Attendance at the workshop is limited to mental health professionals who have a master’s degree or higher in
the mental health field and are licensed or certified through a state or national board which authorizes independent practice.
Intern/post-graduate students must submit verification of completed graduate level coursework at an accredited school,
licensing track, supervision by a licensed clinician, and submit a current supervisor’s letter with his/her degree and
license number.
February 10, 11, & 12
2012 March
23, 24, & 25
Coffee and Registration 9:00 am each day of training
Friday 9:30
am – 5:30 pm
Friday
9:30 am – 5:30 pm
Sat. 9:30 am – 5:30 pm
Sat.
9:30 am – 5:30 pm
Sun. 9:30 am – 4:30 pm
Sun.
9:30 am – 4:30 pm
Each attendee must attend five 2-hour group consultations in addition
to the training sessions.
Group consultation schedule:
Friday February 17
11:00 am – 1:00 pm
Friday February 24
11:00 am – 1:00 pm
Friday March 2 11:00
am – 1:00 pm
Friday
March 9 11:00
am – 1:00 pm
Friday March 16 11:00
am – 1:00 pm
Training Location: 1724 West Street, Redding, CA
Cost:
$1550.00 ($1450 if registered before 1/15/12; $100 discount for interns/post-graduate students).
About the Trainer: DaLene
Forester, PhD, MFT, is an EMDRIA Approved Consultant and Trainer. Dr. Forester specializes in
the treatment of eating disorders and PTSD and is a Board Certified Expert in Traumatic Stress. Dr.
Forester is a CAMFT Certified Supervisor, an approved CEU provider with the California BBS, California Board of RN’s,
EMDRIA, and the MCEP Accrediting Agency. For more information, call 530-245-9221.
Continuing Education
BBS: CEU’s provided by DaLene Forester, PhD, California
BBS CEU Provider # PCE 3287. Course meets the qualifications for 50 hours of continuing education credits for MFT’s
and LCSW’s as required by the California Board of Behavioral Sciences.
RN: DaLene Forester,
PhD, is approved by the California Board of Registered Nursing provider # CEP 14409 for 40 contact hours.
Attendance at the entire program is
required for CE Credit. No partial Credit will be awarded.
Please
register early and arrive before the scheduled start time. Space is limited. Registrants
canceling up to 72 hours before the workshop will receive a tuition refund less a $50.00 administrative fee. No
refund for less than 72 hours cancellation. A $25.00 service charge applies to each returned check.
All trainings by DaLene Forester, PhD, MFT are held in facilities in accordance with the Americans with Disabilities
Act. If special accommodations are required, please notify DaLene Forester, PhD, MFT 72 hours in advance.
Note temperatures in meeting rooms are variable, please dress in layers.
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Print and return registration
form to:
DaLene Forester,
PhD, MFT
PO Box 991962
Redding, CA 96099-1962
Phone: (530) 245-9221 Fax: (530) 245-9222
Name:_____________________________________
Professional Title: _________
Please print as you want your name to appear on your Certificate of Completion.
Professional Lic. #___________________ Lic. Exp. Date:
____________
Mailing Address:_____________________________________________________
City:
_____________________________________State: _______ Zip: __________
Contact Phone (______)__________________
E-Mail:_____________________________________________________________
Please
enclose full payment with registration form. Check method of payment.
_____ Check for $ ________ Please make payable to DaLene Forester, PhD, MFT
____ Charge the amount of $_______to
my (circle one) MC Visa Discover AmExp
Card Number: ____________________________________________________
(Please enter all raised numbers)
Exp. Date: _____________ Three digit
code on back of card: __________
Name
as it appears on Card: _____________________________________________
Address the Card is Billed to: ____________________________________________
_________________________________________________ Zip Code: __________
Signature:
____________________________________________________________
