Event Registration | Trauma Recovery

Event Id

Ask non-profit status

YesNo

Allow private clinicians

YesNo

Eligibility

CEU Info

Event Name

Start Date

Welcome to the Trauma Recovery/HAP Registration Process. The Registration process will take you approximately 10-15 minutes to complete.

If you are registering multiple participants, you must register each participant one at a time. This system does not support simultaneous registrations through multiple browser windows.

Event Information

Dates

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Event Dates

Date

Start Time

End Time

Timezone

Location

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Delivery Location

Time Zone

Price

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Price

$

Reg Code Prefill

ID

Code

Name

Reason

Amount

Available seats

If your agency has provided you with a registration code, enter it below. If your agency has NOT given you a registration code, please skip this section and continue reading to the bottom of this page.

Registration Code

Registrant Price

Selected Registration Code

Number of open unreserved seats

This event is full. Click wait-list if you would like to be notified of upcoming events with available seats.

Eligibility

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If after you register it is determined that you do not meet the above eligibility requirements, you will not be admitted to the training and the fee paid for the training will not be refunded.

For questions about EMDRIA Certification in EMDR, please contact EMDR International Association (EMDRIA) or visit their website at www.emdria.org directly.

CE Information

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Cancellation Policy

All cancellations must be in writing, by email, fax or letter.

Cancellation 14 Business Days (${cancellationDeadline}) Prior to Event Start Date:
Refund of basic training fee, less a $45 administrative fee, upon receipt of a written cancellation postmarked no later than 14 days prior to the Event's advertised start date (via letter, email (training@emdrhap.org), or FAX 203-288-4060.

Cancellation between ${cancellationDeadline} and the 4th Business Day Prior to Event Start Date:
50% refund of basic training fee, upon receipt of a written cancellation postmarked no later than 4 days prior to the Event's advertised start date (via letter, email (training@emdrhap.org), or FAX 203-288-4060.

Cancellation Within 72 Hours of Event Start Date:
No refund for cancellations within 72 hours (3 days) of the Event's advertised start date.

Cancellation Regarding Inclement Weather
It is the policy of Trauma Recovery/HAP that trainings will go ahead during bad weather, unless Trauma Recovery/HAP decides the severity of conditions warrant canceling and/or municipal or state government offices are closed.

Registrants should make every reasonable effort to get to the training. If for some reason they are unable to make it to the training (e.g. their flight is cancelled), they would be required to provide proof of this and an exception could be made.

In the event that Trauma Recovery/HAP is forced to cancel the training (or if a host agency makes the decision to cancel a training), Trauma Recovery/HAP will email registrants to announce this.

If the training is cancelled due to inclement weather, it will be rescheduled and registrants will be transferred to the new date. Any registrants who are unable to make the new date will receive a full refund.

Information Needed to Register

Note to Registrants

Eligibility Confirmation

I have read the eligibility information above and confirm that I meet the eligibility requirements to attend a Trauma Recovery/HAP Stage training.

Participant Information

Contact Information

First Name	Last Name
Phone	Personal Email Address
Additional Email Address	Work Email Address
Preferred Email Address

Address

Street

City

Country

State

Province

Postal code

Background Information

EMDR training is available to people who have completed, or full time students enrolled in, a Master's or Doctorate level program in a mental health field (Social Work, Counseling, Marriage Family Therapy, Psychology, Psychiatry, Psychiatric Nursing — first year students are not eligible). Please indicate your status:

Graduate degree completedFull time second year or higher graduate student

From what accredited institution did you/will you receive your clinical degree?

What is the name of the organization/agency you are currently doing your clinical work with?

What degree do you/will you have?

Are you a Licensed Clinician?

YesNo

What license do you have or are you pursuing?

License Number

Expiration

License Issuing Authority

I work in a clinical capacity for a non-profit or public sector organization.I work in a clinical capacity with underserved communities.

Participant full name

Non-Profit Employment Verification

Organization Information

Name Of Organization

Street Address

City

Country

State

Province

State/Province

Zip/Postal Code

HR Contact

HAP will contact this person to verify your employment status

First Name

Last Name

Email Address

I work at a non-profit or public sector agency in a mental health capacity.

Trainee ID

The Trainee ID Number is needed to ensure that you receive proper credit for all Trauma Recovery EMDR HAP training events.

If this is the FIRST Trauma Recovery EMDR HAP event you have registered for, the Trainee ID box below should be BLANK; leave it blank and continue with the registration. Trauma Recovery EMDR HAP will assign you a Trainee ID number, which will be sent to your email, with your registration confirmation.
If you have participated in another Trauma Recovery EMDR HAP event, your Trainee ID should appear in the box below, if your current email address matches the one used when you originally received the ID number. If you have a trainee ID and it does not appear below please enter it in the box provided. Please visit the Trainee Record page to retrieve or obtain your Trainee ID.

Trainee ID

Supervisor Approval Form

This is an electronic form that supervisors will complete after being sent an email link.

Who is required to submit a supervisor approval form:

ALL Registrants who are not yet licensed clinicians must be currently pursuing licensure under a clinical supervisor to participate in this training event.
All students in the clinical portion of their program must be currently working under the supervision of a licensed clinician, to be eligible for this event.

Please provide your clinical supervisor's name and email address so that we can contact them.

Supervisor's First Name

Supervisor's Last Name

Supervisor's Email Address

Participant Agreement Form

I certify that I have read the entire Participant Agreement Form and that I understand and agree to accept all its terms.

Event Type ID

Payment Amount

Amount due

$

USD

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AUTH.NET Amount

Payment Information

Card Number

MM

YY

Code

Billing Email

Payment Details

First Name

Last Name

Address Line 1

Address Line 2

City

Country

State/Province

Zip/Postal Code

Phone

You can review the information you have provided by clicking Previous Page.

Submit your registration by clicking Register For Class on this page.