The International Class 2017/18 Application Cover Sheet Activities



Download 62 Kb.
Sana09.09.2017
Hajmi62 Kb.




The International Class 2017/18

Application Cover Sheet

Activities
Three residencies at the Institute in New York City: 7 days in October; 6 days in February; 10 days in June.
Five online seminars in between residencies.
Skype Conference Calls
Fee
$3,400USD.
Not Included
Transportation costs to NY and food and housing while in NY are the responsibility of the applicant.

Signature _____________________________________________________________


Date _________________________________________________________________

No handwritten applications will be accepted. Send applications to the attention of Lois Holzman at lholzman@eastsideinstitute.org

EAST SIDE INSTITUTE FOR GROUP AND SHORT TERM PSYCHOTHERAPY

The International Class Application

Given Name ________________________ Family name_________________________


Current Title/Organization Affiliation _________________________________________
Address_______________________________________________________________
City___________________________________State___________________________
Zip/Postal Code______________Country_____________________________________
Telephone_________________________Cell _________________________________
Email_________________________________________________________________

EDUCATION (BACHELOR’S AND ABOVE)
Institution__________________________________________________________________
Years Attended_____________Degree________________________________________________
Department and/or Concentration_______________________________________________________________

Institution__________________________________________________________________
Years Attended_____________Degree________________________________________________
Department and/or Concentration_______________________________________________________________

PROFESSIONAL EXPERIENCE (INCLUDING INTERNSHIPS)
Institution__________________________________________________________________
Title/Position________________________________________________________________
Dates__________________________

Institution__________________________________________________________________


Title/Position_______________________________________________________________
Dates__________________________

Institution__________________________________________________________________


Title/Position_______________________________________________________________
Dates__________________________


PROFESSIONAL INTERESTS


In an essay of 500-1000 words, describe your experience and interests and how they led you to want to study at the Institute. Include specifics about the Institute’s methodology that attract you and why.

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________






Download 62 Kb.

Do'stlaringiz bilan baham:




Ma'lumotlar bazasi mualliflik huquqi bilan himoyalangan ©hozir.org 2020
ma'muriyatiga murojaat qiling

    Bosh sahifa
davlat universiteti
ta’lim vazirligi
maxsus ta’lim
O’zbekiston respublikasi
zbekiston respublikasi
axborot texnologiyalari
o’rta maxsus
nomidagi toshkent
guruh talabasi
davlat pedagogika
texnologiyalari universiteti
xorazmiy nomidagi
toshkent axborot
pedagogika instituti
rivojlantirish vazirligi
haqida tushuncha
toshkent davlat
Toshkent davlat
vazirligi toshkent
tashkil etish
matematika fakulteti
ta’limi vazirligi
kommunikatsiyalarini rivojlantirish
samarqand davlat
vazirligi muhammad
pedagogika universiteti
bilan ishlash
fanining predmeti
Darsning maqsadi
navoiy nomidagi
o’rta ta’lim
Ishdan maqsad
haqida umumiy
nomidagi samarqand
fizika matematika
sinflar uchun
fanlar fakulteti
maxsus ta'lim
Nizomiy nomidagi
ta'lim vazirligi
moliya instituti
universiteti fizika
Ўзбекистон республикаси
umumiy o’rta
Referat mavzu
respublikasi axborot
Toshkent axborot
таълим вазирлиги
Alisher navoiy
махсус таълим
Buxoro davlat