Association of Jungian Analysts

ASSOCIATION OF JUNGIAN ANALYSTS

A Jungian Analytic Training for Qualified Psychotherapists

Application Form

Applications are invited, and will be processed from 1st June 2016. Please return your completed application to Helena Rogowska at [email protected]. The deadline for applications is the 31 May 2016. Please post a cheque separately to AJA for £200 made out to Association of Jungian Analysts, which is a charge for processing your application.

Please include copies of relevant certificates, professional memberships and professional indemnity with your application.

1. Name, address, telephone numbers, email address.

2. Academic qualifications, with dates.

3. Details of psychotherapy training, qualifications, and membership(s) of psychotherapy organisation(s).

4. Details of psychiatric clinical placement or other hospital experience.

5. Post-graduate training, including details of psychotherapy courses, before and/or after qualification, with dates.

6. Details of all previous psychotherapy/analysis, with names of therapists/analysts (with their affiliations), dates, numbers of hours, and frequency.

7. Details of all previous supervision, individual and/or group, with names (and affiliations), dates, numbers of hours, and frequency.

8. Details of all previous clinical work, with numbers of hours, and frequency at which worked.

9. Details of all Jungian courses and seminars attended, including during training.

Association of Jungian Analysts - 7 Eton Avenue, London NW3 3EL - Tel/Fax: 020 7794 8711 – Email: [email protected] www.jungiananalysts.co.uk Registered Charity No. 274 466 ~ Company limited by guarantee Reg No 132 8178 Continue

10. Details of any significant physical or psychological medical conditions, past or current.

11. Details of any complaints made against you during the course of your professional work.

12. Personal Biography. Write a reflection on significant experiences in your life which have influenced you and led you to this point. (maximum 1000 words).

13. Write a statement on why you want to become a Jungian analyst? (maximum 500 words)

Include the following:-

What it is about the Jungian approach that attracts and interests you? What do you hope to gain from participating in the course and from your subsequent membership of AJA.

14. Names and addresses of two referees, both of whom have knowledge of your work as a psychotherapist. References will be sought after the initial screening of your application.

May 2015.