Intermediate Certificate in Systemic Practice Application Year 2

INTERMEDIATE CERTIFICATE IN SYSTEMIC PRACTICE APPLICATION YEAR 2

Contact Details - Step 1 of 11

Contact Information

Title *

Name: *

First

Last

Current Job Title: *

Nationality *

Date of Birth:

Email: *

Confirm Email

Mobile Phone: *

Work Mobile Phone:

Address: *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

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Language Requirements

Is English your first language *

If English is not your first language or you have not previously studied in English, IFT required students to reach a satisfactory level of proficiency in English Language prior to starting the programme. Evidence of your ability in spoken English will be required with your application form.

The standard requirement is an IELTS score of 6.5, TOEFL 580 (or 237 in the TOEL computer based test, plus 4 in the essay writing), or the AEB Test in English for Educational Purposes.

Memberships of Professional Bodies

Are you a member of any professional bodies? *

Professional Bodies

Course Selection

Please select which course you are applying for: *

Child Focused Practice
Families & Couples

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Higher Education & Qualifications

Please specify subjects, place of study, years of study and qualifications gained, beginning with the most recent. (You will need to provide us with proof of qualifications before you are allowed to start the course.)

Layout - Subject 1

1. Subject (Most important first)

1. Date Started

1. Qualifications Gained

1. Place of Study

1. Date Ended

Add a 2nd Subject?

Layout - Subject 2

2. Subject

2. Date Started

2. Qualifications Gained

2. Place of Study

2. Date Ended

Add a 3rd Subject?

Layout - Subject 3

3. Subject

3. Date Started

3. Qualifications Gained

3. Place of Study

3. Date Ended

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Work Experience

Please give details of relevant work experience, beginning with the most current:

Professional Experience

Please describe your professional experience with families and couples, or children in any capacity:

Systemic Practice Experience

Please describe your experience working with families or children using a systemic approach. Include an estimate of the number of hours of direct family work or child work you have done:

Can you fulfil the requirement for 60 hours of systemic practice with families & couples in your work context? For child focused practice you must be able to meet with families with children present. *

How will this be achieved? *

If you are not able to fulfill the requirement for 60 hours of systemic practice within your work context, how will you meet the requirements? *

Acceptance on the course will not be confirmed until you have confirmed your ability to fulfil this requirement. Please note that the Institute does not provide student placements. Students who require practice placements or supervision must make their own arrangements. We have a few names of some practitioners and organisations which may be provided on request after registration. However, it is up to prospective students to make the arrangements themselves. If you are in any doubt please contact us for clarification.

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Foundation Level Training

Layout - Course 1

1. Course Name *

1. Course Provider *

1. Course Tutor Name *

1. Date Course Started *

1. Date Course Ended *

Other Systemic Training

Layout - Other Systemic Training

1. Systemic Training Training Name

1. Systemic Training Provider

1. Systemic Training Date Started

1. Systemic Training Date Ended

Add a 2nd Systemic Training Course?

Layout - Other Systemic Training 2

2. Systemic Training Training Name

2. Systemic Training Provider

2. Systemic Training Date Started

2. Systemic Training Date Ended

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Supervision

Outline any supervision you have received, systemic or otherwise:

Have you worked as part of a therapy team? Please give details:

Has your employer or placement supervisor given consent to use practice learning material for the course?: *

Clinical Supervision

It is expected that students should access a minimum of 10 hours of systemic supervision. Supervision can be accessed individually or in a small group. Supervision is expected to cover the student's systemic practice during the course (June - May).

Can you fulfil the requirement of a minimum of 10 hours of systemic supervision? *

Please state how you will meet this requirement *

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References

Please complete the reference details below for a professional referee who can comment on your work with families/children. Please ask for their permission to provide a reference before supplying their details.

Name of Professional Referee: *

Position Held: *

Phone: *

Email: *

Please give the contact details of your tutor from your introductory training as your academic reference.

Name of Academic Referee: *

Position Held: *

Phone: *

Email: *

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Position Statement

Please write a brief statement (300 words maximum) explaining why you would like to train further in systemic practice. *

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For Our Information

How did you hear about the Institute?

Advert
IFT Website
Word of Mouth
Other

If Other, please specify:

How did you hear about the course?

Advert
IFT Website
Word of Mouth
Other

If Other, please specify:

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About You

Layout

Gender

Ethnic Origin

Age Range *

25-30
31-35
36-40
41-45
46-50
51+

Job Type

Medical
Psychology
Nursing
Social Work
Education
Charity
Other

If Other, please specify:

Do you have any disabilities? *

Please specify your disablities:

You have an unseen disability (e.g. asthma, epilepsy, diabetes)
You have Dyslexia/Dyspraxia
You are blind/partially sighted
You need personal care support
You are deaf/have a hearing impairment
You have mental health difficulties
You have a disability not listed above
You are a wheelchair user/have mobility issues
Other disability

If you have a disability that's not listed, please specify:

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Notes on Payments of Fees

An administration fee of £43 must accompany this application. This will be returned if the application is unsuccessful.

If your application is successful, documentation regarding payment of fees will be sent to you. Students will be asked to indicate whether they will pay their own fees or if their employers will be responsible for payment. Payment by instalment is available to self-payers only.

Students will only be enrolled once payment has been received, or official confirmation of payment has been received from employers.

Students on IFT courses are governed by IFT's policy on course fees.

Institute of Family Therapy's Policy on Course Fees

IFT registration takes place on the first day of the course. Once registered with IFT, students become liable for the full course fee. In the event of students failing to complete the course for any reason, including voluntary withdrawal on notice, they will remain liable for the full fee. All withdrawals must be stated in writing.

Application Check List

Applicant Form Acceptance: *

I have / will have a current practice during the entirety of the course
I have completed all relevant sections of the IFT application form
I have read and understood the 'Notes on Payment of Fees'
I have read and understood the information on Prior Training Requirements
I have completed the statistical information
I agree to IFT holding the information in this form for the purpose of administering this course (in accordance with GDPR)
I do not want to be added to the mailing list

I hereby certify that all of the above information is correct and complete, and that I wish to apply for admission as a student of the Institute. I understand that the submission of any misleading information could lead to the immediate cancellation of my application and the withdrawal of any offer made. In the event that I register as a student of the Institute of Family Therapy, I hereby undertake to pay, as and when due, all Institute fees.

Signature: *

Date of Application: *

Application Fee

Price: £ 43.00

Stripe Credit Card *

Card

Name on Card

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