Intensive & Practicum Training Application

Contact Information: Organizer (Materials will be shipped to this address)

Training *
Level *
Length *

Estimated # Particpants:
NBCC Requirements
Only instructors with credentials of a master's or higher can teach courses leading to NBCC credit. If you do not have these credentials, you may teach but cannot offer NBCC credit. All promotional material must state your credentials. 
Options for open 4 day trainings and 27 hours, check one:      
 Options for 3 days and 24 hours, check one:

Agreement: I will follow what is outlined in the WGI Policies and Procedures Manual (ppm), and am aware of current acceptable Intensive Training format and their terms.
Signature of Organizer
Please sign (to the best of your ability) in the above box using your mouse. Once you click on submit you will receive an email of this form for your records.  Please foward to the Regional Board Member for approval. 

William Glasser International| 4053 W. 183rd St., #2666, Country Club Hills, IL 60478
Phone: (708) 957-6048|