STUDENT APPLICATION FORM

Please visit here for more information and program dates. All four sessions should be attended for successful completion of ICF ACTP.

**Please fill the information below for applying to Gestalt Coaching Program in Istanbul. All fields marked with "*" is mandatory.**

Name *

Last Name *

Email *

Mobile Phone *

Other Phone

EDUCATION (Last three schools you graduated, graduation year and field of study) *

Other training completed - Gestalt, Coaching, etc (Please list name of program, year, duration, leaders)

Check box if you have any training in Gestalt before.

Work Experience (Please list last three positions held, with dates and organizations)

A $ 550.- + VAT nonrefundable registration fee must be paid. No registration is complete without payment.

I will deposit the amount in GCC's bank account (Please contact us for details)

I will pay in cash in GCC's offices

PAYMENT (Choose your prefered method below by checking the box next to it)

Program tuition fee is $ 9,950 + VAT (including nonrefundable registration fee).

If payment is received in full before program begins, $550 will be waived and total payment will be $9,400 + VAT

WE OFFER A PAYMENT PLAN: $ 2,500 (including nonrefundable registation fee) + VAT due at registration and $ 2,500 + VAT x 3 installments due before each of the 2nd, 3rd, and 4th sessions. (Even if you withdraw from the program, you will be responsible for all installments - partial attendance is not possible).

After completing this form, please press the "SUBMIT" button below. Submitting this form does not complete the registration process. No registration is final before submitting the registration fee.

We will contact you with payment information.

Please contact our offices for any other information thru email at seda@marefidelis.com or by calling +90 212 325 98 50.

STUDENT APPLICATION FORM

Please fill the information below for applying to Gestalt Coaching Program in Istanbul. All fields marked with "*" is mandatory.

A $ 550.- + VAT nonrefundable registration fee must be paid. No registration is complete without payment.

PAYMENT (Choose your prefered method below by checking the box next to it)

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**Please fill the information below for applying to Gestalt Coaching Program in Istanbul. All fields marked with "*" is mandatory.**