INTERNATIONAL SCHOOL PSYCHOLOGY ASSOCIATION

APPLICATION FORM FOR CRISIS INTERVENTION SEMINAR

 First Name

Surname

Address:

Telephone       (Give country code first)

 Fax No.  

e-mail

 Place of work:  

  I would like to participate in the crisis course in Utrecht, Netherlands (July 12 – 16, 2008)  

I intend to participate in the ISPA Colloquium (July 8– July 13, 2008)

My experience in the field of crisis intervention and prevention so far (please add short statement)

I got the application form for funding from my COMENIUS agency.

The deadline for application for funds in my country is:

I will tell the organizer if I finally do not apply for funds for the course in Utrecht and give information whether the application was accepted or not.

  Date:   

         

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