Application form London April-May 2014

Registration
The deadline for registration is Friday 21st March 2014. Applications submitted after this date may be accommodated, but only if spaces remain.

You will receive an e-mail confirming whether you have secured a place one week after the final registration date at the latest. Please note that the application at this point is binding.

You will find information about the ACT train the trainer programme, venue, and dates here:
ACT Overview Training Spring 2014

Cost of training and support material
The fee for the ACT group format programme, the manual, PowerPoint slides, and 15 decks of Life Direction (Values) Cards is £800.

When you go on to run your own ACT groups, additional costs will be incurred for purchasing the two recommended ACT books for trainers; and also the cost of mindfulness phone application for each person you train in the ACT approach.

Registration
Pleas enroll me in the “Delivering ACT in Group Format” programme to be held at City University London, April-May 2014

Name: *

E-mail: *

Workplace: *

Phone number: *

Billing address (for tuition fee including manual): *

Profession: *

Job description (main tasks): *

Are you attending with a colleague? (write colleagues name or by yourself): *

Briefly describe how you plan to continuously conduct courses for group participants: *

Have you informed your employer that you are attending the training programme?:

Additional information:

The deadline for registration is Friday 21st March 2014. Applications submitted after this date may be accommodated, if space allows.

For further information about programme content or registration please contact:
Lucie Zernerova
Phone: +44 (0)79 3166 7293
E-mail: lucie.zernerova.1@city.ac.uk

Paul Flaxman
Phone: +44 (0)20 70408484
E-mail: paul.flaxman.1@city.ac.uk

or Fredrik Livheim
E-post: livheim@gmail.com
Phone: +46 (0)70 694 03 64