TPP Application Form

Section 1: Demographics

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First Name

Last Name

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Pronouns

Date of Birth

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Phone Number

Email Address

Current Residential Address

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Level of Education

Current Occupation

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Are you currently an intern or employee at Heart It Out?

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Please Upload Your CV Here

(Document type: .pdf & .docx only)

TPP Application Form

Section 2: Why TPP

1) Being a practicing psychotherapist is only one of my career options, not the main one.

2) My academics have fully prepared me for this profession; I do not need further training.

3) My professional experiences have made me fully aware about the reality of being a psychotherapist in India; further insights will not be helpful.

4) I am more interested in research and theoretical knowledge than practical learning.

5) I am very clear on the school of thought in psychology that will inform my practice.

6) I know the kind of population with whom I would like to work (ie, children, adolescents, adults, etc.)

7) I know which area I would like to specialize in (ie, trauma, relationships, developmental disabilities, substance-use, etc.)

8) I have gained experience with conducting supervised sessions with clients presenting mental health concerns.

9) I feel equipped with the tools and skills necessary to be an effective psychotherapist.

10) I feel fully prepared to start seeing clients on a regular basis.

TPP Application Form

Section 3: Statements of Purpose

Please answer each of the following in a 100 words or less:

1. What, according to you, will make you a good psychotherapist?

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2. Briefly, what purpose do you think this profession will fulfil for you?

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3. What challenges do you think psychotherapists in India face?

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4. What prompted you to apply to The Practica Program?

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5. How do you think The Practica Program will be beneficial to you?

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What are some of the things that you would bring to the program?

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Provide an example of a situation where you experienced failure/a setback. How did you respond?

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Provide an example of a situation that invited you to unlearn and then relearn.

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6. Are you willing to commit to 20 weeks of rigorous training and practice?

7. Will you be interested in earning a job offer from Heart It Out upon the successful completion of The Practica Program?

TPP Application Form

Section 4

1. How did you hear about The Practica Program?

2. What are your expectations from The Practica Program?

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