Basic Training in EMDR
First Weekend
- September 23, 24, & 25, 2011
Second Weekend - November 4, 5, & 6, 2011
*see below
for consultation dates
Course Trainer:
DaLene Forester, PhD, LMFT
EMDR International Association Approved Consultant and
Trainer
This is the complete EMDR Basic Training approved by the EMDR International Association
(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 including two 3-day weekends and 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.
September
23, 24, & 25, 2011 (part one) and
November 4, 5, & 6, 2011 (part two)
Coffee and Registration 9:00 am the first 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 consultations
are conducted by telephone conference call.
Group consultation schedule:
#1
Friday October 7
9:00 am – 11:00 am
#2 Friday October 14
9:00 am – 11:00 am
#3 Friday October 21
9:00 am – 11:00 am
#4
Friday October 28 9:00
am – 11:00 am
#5 TBA
Training
Location: 1724 West Street, Redding, CA
Cost: $1550.00
($1450 if registered before 8/20/11; $100 interns/post-graduate discount).
About
the Trainer: DaLene Forester, PhD, MFT, is an EMDRIA Approved Consultant and Trainer. She
has a successful private practice in Redding, California, supervises interns, and specializes in the treatment of eating disorders
and PTSD. In addition to her psychotherapy practice, DaLene 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:___________________________________________________________
