Revised 2023-05-16
This form is to be used when you are a graduate from an EAGT accredited Training program for supervisors.
Application for Supervisor, requires Gestalt Therapist membership
Email as used for communication with EAGT.
Can be found at https://ismember.eagt.org :
Name of Training Institute :
Name of coordinator/Director of TI :
Upload certificates and their translations, if not in English.
You can translate yourself.
I am an EAGT full member since:
I am an ECP full member since:
I am a full member of an, by EAGT accredited NOGT, since:
I confirm that I was trained in Gestalt therapy according to standards which comply with the standards of EAGT.
I accept that EAGT stores this information during my membership, and shares my email address for invoicing purposes.(With Bank or PayPal.) In EAGT only officers or employees of the organisation can access my data.(EAGT Privacy Statment)
I hereby certify that the above information is correct to the best of my knowledge and belief
I have read and agree to the Code of ethics of the EAGT. I am not currently the recipient of a complaint.