Satir Intensive Application

Please complete the following form to apply and be considered for the upcoming Satir Intensive, July 18 - 24, 2025.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Education level

High School

Undergraduate Degree(s)

Year Graduated

Graduate Degree(s)

Year Graduated

If you have graduate degree,
From what department

In what specialty

From which institution

Are you currently a student

Yes

What and where are you studying? When will you graduate?

Are you employed?

Yes

If employed, what is your position, and briefly describe what you do. If unemployed, what and when was your last employment?

Are you acquainted with the work of Virginia Satir? If so, please explain.

Have you ever attended a Virginia Satir class, workshop or presentation? What was the name of the offering? When did you attend?

Briefly describe why you want to attend this training.

The Satir Intensive is experiential and involves group participation. Do you have any limitations, restrictions, or reservations regarding your individual participation? If so, please explain.

How do you intend to use or apply wha you learn during this training?

Are you interested in teaching or training others in the Satir Growth Model? Please explain your answer.

Why do you think you should be selected to attend this training?

Do you need financial assistance to attend this training?

Yes

What is the maximum amount of the registration fee that you can pay yourself?

Do you agree to adhere to the Center's COVID policy, which may include:

proof of negative test results within 24 hours prior to first day of training or a rapid test on the first day
Rapid testing at the workshop if you have COVID-related symptoms
Under certain circumstances, wearing a mask
Isolating yourself if you test positive

Yes

Virginia Satir believed that if you can heal the family, you can heal the world. What in our current world do you believe needs "healing"?