Form Page: supervisorNAC

Revised 2023-05-16

To be used when applying without an accredited supervisor training program.

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 :

Adress of Training Institute :

Name Coordinator / Director of TI:

Email adress to Training Institute :

You must respond to either 1a or 1b. 1b is the Grandparenting procedure.

If requirements in this form differs when compared to requirement document as approved by GMM, the requirements approved by GMM are to be followed. (Ref. link for requirements top of page)

1a. You have been a full member of EAGT, or a NOGT for at least eight years, have practiced at least five years as supervisor in an accredited Training Institute. Has been supervised by at least two accredited Gestalt supervisors for at least five years.

1b. You have been full member of EAGT and/or a NOGT for at least 5years. You have worked for at least 5years as an accredited Gestalt therapist/supervisor of EAGT or a NOGT and can prove an ongoing participation in professional activities, including supervision in an accredited institute, presenting and participating in seminars/lectures/conferences etc. You are accepted as supervisor by and EAGT-TI or a NOGT and you are able to combine theory and practice of Gestalt therapy in writings or presentations in conferences.

Grandparenting

Yes

2. Enclose cop(y)ies of certificate(s), and documentation for 1a and 1 b.

3. Complete the application with 2 recommendation letters from 2 full EAGT accredited gestalt supervisors who know your work from firsthand experience.

Letter 1

Country:

Name:

Letter 2

Country:

Name:

First select Country , then name full member, who has written your reference letter .

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