ICDTA Practitioner Award (DTAPA) Enquiry Form
| First Name(s) | |
| Last Name(s) | |
| Address Line 1 | |
| Address Line 2 | |
| City/Town | |
| Postcode/zip | |
| Country | |
| Telephone (best one to use) | |
| Skype (if you have it) |
| I would like to discuss my options, without obligation, for attaining the DTAPA |
| Brief details of my professional practice |
| My professional qualifications |
| Brief details of prior TA studies, if any, including names and TA qualifications of trainers |
| Brief details of prior TA supervision, if any, including names and qualifications of supervisors |
| Brief details of how I have incorporated DTA into my professional practice, if any, including dates, activities, topics, types of clients (no individual names need be given) |
| Brief details of how I intend to apply TA within your professional work in future – types of activities, types of clients |
Extend this form to additional pages as necessary (maximum 3) and attach your CV and any learning logs, CPD records etc that you may have.
Complete and save form and email it with attachments to ICDTA@adinternational.com
If you want an initial exploratory discussion before completing the form, call Julie Hay +44 (0) 7836 375188 or Skype juliehay