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What are Creative Arts Therapies ?
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SUBMIT
MEMBERSHIP APPLICATION
Choose Discipline Of Your Application *
- choose -
Art Therapy
Dance Movement Therapy
Dramatherapy
Music Therapy
Expressive Arts Therapy
Select Membership Type *
- choose -
Professional Membership - €115 p.a.
Associate Membership - €60 p.a.
Non Practising Membership - €55 p.a.
Student Membership - €50 p.a.
Organisational Membership - €100 p.a.
PERSONAL DETAILS
First Name *
Surname *
Personal Email *
Personal Phone *
Organization name *
Addr (Line1) *
Addr (Line2)
City/Town/Village *
County *
Postcode
Country
Ireland
UK
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling), Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the Congo
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas),
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and Mcdonald Islands
Holy See (Vatican City State),
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, the Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
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United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.s.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Are you applying from an over seas college?
YES
NO
MEMBERSHIP DATA
Name of National Professional Association:
Full title of course as named by the degree awarding authority:
Degree & Grade obtained:
Date of commencement & completion:
Name & Address of University, institute, college or other degree awarding authority:
Contact details of course director (name, telephone, email):
Course content transcript details required
please upload
Choose File
Supervised clinical placement including hours completed
please provide dates and names of placements and supervisors with their qualifications and signatures. Please upload letter from supervisor(s)
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Personal therapy hours undertaken during and/or after course qualification
Please provide dates and names of therapists with their qualifications and signatures.
Please upload letter from therapist(s) confirming hours completed *
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Therapeutic group work (group process) hours undertaken.
please upload letter from group process therapist(s) *
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Experiential components of training
please provide course descriptions
Theoretical components: Module titles & hours completed
please provide course descriptions
Continual Professional Development
unless qualified less than two years before applying to IACAT for registration, please provide details of CPD since qualification/ graduation.
MEMBERSHIP DATA
Title of your Masters/Course of Study *
College / University *
A copy of your Student Card or Insurance Certificate is required
Choose File
Upload Your Masters Certificate
Choose File
Are you a supervisor?
Title of Supervisor Course
College / University
Upload Your Completion Certificate
Choose File
Add to IACAT Supervisor Register
Other Professional Memberships
Current or Previous Statutory Registrations / Memberships . e.g. CORU, HCPC
PUBLIC REGISTER
Add to IACAT Website Therapist Register
Specialises in
ABI and Rehab
Autistic Spectrum Disorders
Bereavement
Communication disorders
Corporate
CPD / workshops
Dementia
Early intervention
Emotional & behavioural disorders
Forensic services
Intellectual disability
Medical conditions
Mental health
Palliative care
Personal development
Physical disabilities
Sensory impairments
Substance misuse
Locations/Counties you service
Practice Address
Practice Phone
Practice Email
Practice Website
Brief Bio
Sessional work
Private Referrals
EMPLOYMENT/SKILLS PROFILE
HSE Employee (PAYE)
Private Practice
Children/Adolescence
Adults
Groups
Family
Please Upload Your Insurance Certificate
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Educational Services
Primary
Secondary
Third level
Gov Health Services
Adults
Child/Adolescence
Residential Care
Hospitals
Clinics/GPs
Elderly Care
Palliative Care
ABI
Other
Forensic Services
Prisons
Probation
Addiction Services
Alcohol/Substance
Gambling
Other
Disability Services
Physical
Intellectual
Learning
Other
Voluntary
Charities
Social Enterprises
Other
Have You Ever Had A Complaint In Your Proffesional Pracice
YES
NO
What was the name of the organisation who dealt with the complaint?
I accept IACAT
Code of Ethics
of membership