WELS/ELS Christian Therapist Network Class – Acting on Hope Registration

A field marked with a red asterisk is required.
Name*
First Last
Mailing address*
Address line 1 Address line 2 City State/Province Zip/Postal code Country
E-mail*
• Should be the e-mail you prefer to use for this course.
• Should be an e-mail to which you have access during non-working hours. For example, I will be using my home e-mail while teaching this course: [email protected].
• A confirmation e-mail will be sent to the e-mail provided.
Phone*
Church affiliation*
Counseling agency*
Title*
Registration type*
Please note: You must register with Martin Luther College for this course by December 15, 2023. Ref. For Christian Counselors Only - PSY9501 01 Acting on Hope I: Introduction to Bible-Based Counseling
- I have registered with Martin Luther College (MLC) for this course.
- I am a therapist employed by Christian Family Solutions, and my fee will be paid by the agency.
Data Privacy & Permission*
I AGREE with the terms of the WELS Privacy Policy.
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By submitting this form you consent to any and all information you provide and submit via the site being sent to the United States of America. The United States has not sought nor received a finding of “adequacy” from the European Union under Article 45 of the GDPR. WELS relies on derogations for specific situations as set forth in Article 49 of the GDPR. You are also informed that the United States presently does not have an adequate level of personal data protection as determined by the European Commission’s adequacy decision on October 6, 2015 (case c-362/14) and articulated in the European Union’s General Data Protection Regulation and has not received a similar designation of adequacy by any other foreign data protection authority. You agree to the transfer of your data and personal data to the United States, however, to be used in accordance with WELS Privacy Policy.

Alan Siggelkow: [email protected] | Privacy policy
Ref: WELS/ELS Christian Therapist Network Class – Acting on Hope Registration