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[memb_member_listing role=”Memberium gold”]
Name: %%contact.firstname%% %%contact.lastname%%
[/memb_member_listing]

AAACTT Application

Membership of this association provides an entry in one of more of the directories on this site and access to further Acceptance Action Trainings. To join, please complete the following form:

All fields are required for your application. Once joined, you will be able to log in and amend your details at any time.

First Name

Last Name

Zip Code or Post Code

Phone Number (include country code)

State or county

Country

Services you provide

To choose multiple options, hold down CTRL and click the relevant options.

Hourly Fee (please don’t include currency symbol here – select your currency from the dropdown below)

Currency

As a coach or therapist, do you provide services face-to-face, via Skype or by phone?

To choose multiple options, hold down CTRL (PC) or Command (Mac) and click

Please list relevant qualifications or current membership of any other relevant association *

Brief Description of your services (Max 100 words)

Any Other contact details

The data above will be published. Data below is for AAACTT use only.

First line of address

Second line of address

Town

Please confirm you’ve attended the full ‘Positive Mind Training’ 5-webinar course presented by Graham W Price?

Yes

No

For therapists, please confirm you’ve read the second half of Graham’s book ‘Acceptance Action Therapy’ presenting examples of AAT cases. *

Yes

No

For therapists, please confirm you have a current indemnity insurance for seeing clients *

Yes

No

Important Information!

* Before your application can be processed, you will need to log into the member’s area to upload a photo of yourself, as well as documentary evidence about those items marked *. Once you have submitted this application form, you will receive an email containing your password to enable you to do this.

(For the therapist requirement re reading the second half of ‘Acceptance Action Therapy’ book, a copy of the book cover will suffice).

Privacy

All personal details will be kept strictly confidential other than those disclosed by practitioners in the Find a Coach, Therapist and Trainer sections of this site.

Contact

Queries and other communications with AAACTT can be made via the Contact Us page.