VDI- Facilitator Submission

To apply for a listing in our Global Resources please fill out this form.

1. Fill out the form below **
Include information that you would like to appear in your directory listing. Fields left blank will not appear.

2. Click Preview Listing at bottom

3. Review Submission

4. Click Final Submission

Be sure to click Final Submission when you're done, or your entry will be lost. Do not send them to Voice Dialogue International.

This redesigned Global Resources section of our website is administered by our Webmaster, Dave Mathews, who will bill you directly for his services. When you click "Final Submission, the form will be sent directly to him and he will bill you for his services. The fee for this initial listing is $50 US

Your information, including your photo, will be displayed in a standard structure. Fill out this form in your language of choice; it is not necessary to use English. There is a place to indicate your ability to work in more than one language. If you work in more than one country, you may submit a separate listing for each country and/or in more than one language. Each submission form will appear in the country of your choice, and each will be charged separately.

** If you are NOT already listed on this website, please contact us first at info@voicedialogue,org to request inclusion. We require at least one letter of recommendation. Please have one or more Voice Dialogue teacher - or other professional mentor - email us a recommendation at info@voicedialogue.org (no client testimonials please). This is a confidential recommendation only and will not be publicly displayed. We will not process your application until at least one of these letters is received. At that time, we will notify you and our Webmaster of your approval and you may fill out the following form.

This current, newly expanded, GLOBAL RESOURCES section has been inspired by Theres Grau and the European platform, Voice Dialogue Europe: Site of the European Voice Dialogue Facilitators, that she has constructed and maintained at http://www.voice-dialogue-europe.net For additional information and to peruse specifically European listings, we encourage you to visit her website.

Only include information that you would like to appear in your directory listing. Fields left blank will not appear.

Contact Information Last Name
First Name

Business Name or
Name of Center (optional)
Address
City / State /
Zip or Postal Code
Country

Phone
E-Mail
Website - http://

Personal Photo

Upload a photo of yourself, your center, or your logo, to display on your listing. Acceptable file formats are .png, .jpg, .bmp, and .gif. Maximum file size is 300k and large photos will be scaled to an appropriate size for the listing layout.

Choose a photo on your computer

Degrees, Licenses, and Certifications

"Title in major/field"

School

Year

Degree

Title

State

Year

License

Type

Granting Organization

Year

Certification

Add more certifications

Type

Granting Organization

Date

Certification 2

Type

Granting Organization

Date

Certification 3

Professional Background
This is to give a picture of your professional background - the kinds of work you've done over the years. This could include your major areas of interest, presentations or trainings that you have given, publications, research. etc. Be sure to summarize your experience in facilitating and teaching Voice Dialogue. You might also include other modalities that you use in your individual sessions or teaching.

Personal Statement

Statement
This is to give a picture of who you are - what you want people to know about you and about your work. This gives you an opportunity to connect with people on a more personal level.
Continuing education
credits available? Yes No

About Your Voice Dialogue Practice

Only the year, e.g. 1995

Facilitating Voice Dialogue
Since

Teaching Voice Dialogue
Since

Additional modalities
optional

What are the key aspects / themes of your Voice Dialogue facilitation?

Major areas of interest
optional

Language(s) in which you are able to facilitate.

Language(s)

Basic Training(s)

List a basic training you completed OR list the most important workshops constituting the basis of your Voice Dialogue facilitation skills. Periods of supervision by a VD teacher may be listed, too.

Title
Where (City, Country)

e.g. 06/2005 - 11/2006

Period (Month/Year)

e.g. 175 hours / 25 days

Hours / Days
Teacher(s)

Add more basic trainings

2

Title
Where (City, Country)

e.g. 06/2005 - 11/2006

Period (Month/Year)

e.g. 175 hours / 25 days

Hours / Days
Teacher(s)

3

Title
Where (City, Country)

e.g. 06/2005 - 11/2006

Period (Month/Year)

e.g. 175 hours / 25 days

Hours / Days
Teacher(s)

4

Title
Where (City, Country)

e.g. 06/2005 - 11/2006

Period (Month/Year)

e.g. 175 hours / 25 days

Hours / Days
Teacher(s)

5

Title
Where (City, Country)

e.g. 06/2005 - 11/2006

Period (Month/Year)

e.g. 175 hours / 25 days

Hours / Days
Teacher(s)

Continuing Education

List applicable continuing education workshops/trainings/classes or periods of supervision by an experienced Voice Dialogue facilitator.

If you have nothing to enter, put a slash (/) in the first Title line (mandatory field).

Title
Where (City, Country)

e.g. 06/2005-11/2005

Period

e.g. 16 hours / 2 days

Hours / Days
Teacher(s)

Add more continuing education

2

Title
Where (City, Country)

e.g. 06/2005-11/2005

Period

e.g. 16 hours / 2 days

Hours / Days
Teacher(s)

3

Title
Where (City, Country)

e.g. 06/2005-11/2005

Period

e.g. 16 hours / 2 days

Hours / Days
Teacher(s)

4

Title
Where (City, Country)

e.g. 06/2005-11/2005

Period

e.g. 16 hours / 2 days

Hours / Days
Teacher(s)

5

Title
Where (City, Country)

e.g. 06/2005-11/2005

Period

e.g. 16 hours / 2 days

Hours / Days
Teacher(s)

Preview your listing