PRESENCE PSYCHOTHERAPY Training Section B 11 CEUs approved by NASW-NJ. What's Covered? - Deepening of Presence Practices - Learn Somatic Experiencing Theory and Techniques - Learn attachment based Advanced Experiential Dynamic Psychotherapy theory and techniques - Understanding the value and role for integrating Presence Practice and communication with Presence in trauma processing. Name* First Last Please click the arrow to select the section you would like to attend:Section BStreet Address* Street Address City State / Province / Region ZIP / Postal Code Email Address* Enter Email Confirm Email Phone numberPlease provide a number where you can receive a text or call.Optional Message or QuestionWithdrawals/Refunds: Participants who wish to withdraw from the training program must do so in writing. If cancellation occurs prior to 7 days before the first day of training begins, 80% of tuition will be refunded. If cancellation occurs 3 to 7 days before the first day of training, 50% of tuition will be refunded. Participants are responsible for paying for sessions attended or missed prior to withdrawal. Code of Conduct: By signing below you agree to contribute to a harassment-free event environment, regardless of gender, gender identity, gender expression, sexual orientation, ability, physical appearance, body size, race, age, religion, or nationality. Harassment includes, but is not limited to: aggressive or hostile verbal comments and other behavior that reinforces social structures of domination related to gender, gender identity, gender expression, sexual orientation, ability, physical appearance, body size, race, age, religion, nationality; Displaying or allowing to be displayed sexual images in public spaces. Deliberate intimidation or stalking; Unwanted or uninvited photography or recording; Inappropriate physical contact; Unwelcome sexual attention; Advocating for or encouraging any of the above behavior. We expect all participants to abide by this Code of Conduct. We reserve the right to pursue appropriate legal remedies or removal from Psychotherapy Training for any failure to abide by this Code of Conduct. Confidentiality: Grievance Policy: If an attendee has a grievance, please put grievance in writing and submit to Michelle Lepak, LCSW as soon as possible. Grievances will be responded to with 24 hours. Grievances will be heard and attempts will be made to resolve the grievance. Please submit a written grievance to: Commonwealth Educational Seminars, 1 (800) 376-3345 or email CommonwealthSeminars@gmail.com/ Grievances would receive, to the best of our ability, corrective action in order to prevent further problems. Confidentiality: Because this is a professional course and not psychotherapy sessions, hippa-compliance is not required. However, because of the experiential nature of the training, we make effort to create confidentiality. All attendees will be granted admission to each virtual meeting individually. All meetings will have a zoom passcode. We require that member do not record any part of the training. We will limit cloud recording by initializing "end to end encryption" and limit the chance of cloud sharing, We request that members hold confidential the identifying information of other participants as long as doing so (1) does not compromise anyone’s safety, health or wellbeing, and/or (2) does not prevent the disclosure of information reported to appropriate law enforcement or regulatory authorities when legally necessary. Participants are responsible for knowing their particular and applicable governing policies of their states and licenses when practicing or teaching Presence Psychotherapy, as well as adhere to their professional standards for confidentiality. Recording: By signing below you agree to not record any part of this workshop. Participants are responsible for knowing their particular and applicable governing policies of their states and licenses when practicing or teaching Presence Psychotherapy, as well as adhere to their professional standards for confidentiality. If you are differently abled and need special accommodations please contact MichelleLepaklcsw@gmail.com Purpose and Promotion: There is no known commercial support nor conflict of interest for this program. We hope that this program teaches Mental Health professionals tools and skills to help people with whom they work. When signing below, you agree to reference Presence Psychotherapy when teaching Presence Psychotherapy concepts and tools and to not teach or promote concepts in the model as your own or that of your business. Signature Required: By signing or typing your name below you (1) take full responsibility for any personal issues that may arise in the course of this training, and 2) acknowledge that you have read and understand the policies about withdrawals/refunds, admissions, schedule, photography/recording, the Code of Conduct.Signature*Date* Date Format: MM slash DD slash YYYY CAPTCHAEmailThis field is for validation purposes and should be left unchanged.