Fellowship Application 2026-2027

First name*

Last name*

Email*

Phone*

Profession (eg. psychologist, psychotherapist, etc.)*

Degree (e.g. MA, Ph.D., etc)*

Professional Status

I am in supervised / qualifying status

I am registered to practice autonomously

Reference #1*

Reference #1 Email Address*

Reference #1 Phone Number*

Reference #2*

Reference #2 Email Address*

Reference #2 Phone Number*

CV*

Transcript*

Personal Statement (max 2 pages)*

Healthcare Providers: Subscribe for updates about
upcoming workshops and training opportunities

Email

Thanks for subscribing!

@canadiancbt

bottom of page