ADMISSION INFORMATION

INFACT – INTERNATIONAL SCHOOL FOR FOOD ADDICTION COUNSELING AND TREATMENT,
FOR FAC – FOOD ADDICTION COUNSELOR

Registration Form
To be received by September 15th. 2017. Please type, or write legibly
Name:
Address:
Telephone:
E-mail:
Place of Employment:
Documents to be sent with application:
History of Education and Worktraining, Credentials, Specializations, 12 step knowledge and participation.
Two letters of Recommendation.
Please write about your interest in the program and what you hope to accomplish with it; __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Requirements for participation, graduation and certification:
Recommendations that show education and work training that will complement Food Addiction Counseling.
An interview with Esther Helga Gudmundsdottir, director of INFACT.
For the online part of the training: computer with sound and web camera.
Knowledge of the English language.
Full participation in 6 day intensive training in Iceland: (Travel expences not included)
Presentation of a final project, weekly submission of assignments and activities, final examination.

Price: $3.125.-
Included in the 5 month training: 18 weekly, four hour online lecture and trainingsessions, 6 day intensive in Iceland, 35o page Clinical Workbook, other course material, weekly studentgroup, closed facebook group.

Please circle your paymentchoice: I will pay in full / Pay Pal / Money/Bank Transfer / Creditcard / Other ways of payment
Those that pay in full before September 1st. 2017 will receive 10% discount of the price of training.

INFACT, SidumulI 33, 108, Reykjavik, Iceland
You may also Email a completed form to esther@mfm.is

Date:
Signature