After applying, please check your email to book your initial meeting. Name(Required) First Last Email(Required) Phone(Required)Address(Required)Website Academic History(Required)Professional Identity (coach? therapist? social worker? etc)(Required) Years in practice(Required) How would you describe your approach in your work?(Required)Specialty Areas(Required)Training completed relevant to religious trauma:(Required)What personal life experience do you have related to recovering from toxic religion?(Required)How would you describe your current beliefs regarding religion and spirituality? Do you identify with any group?(Required)Reasons for seeking membership in Journey Free Helping Professionals group:(Required)Please mark your areas of interest in professional development at Journey Free (more information is available on these): Participation in online support group (private forum for helping professionals) Monthly group conference calls for training and case conferencing. Access to professional readings and materials Opportunities to facilitate in the larger Release and Reclaim group (in forums and conference calls) Viewing confidential client sessions by Dr. Winell Accepting referrals as a Journey Free intern Individual, one-on-one case conferences with Dr. Winell Taking the course, “Methods in working with religious recovery clients” Confidentiality Agreement(Required)JOURNEY FREE HELPING PROFESSIONALS CONFIDENTIALITY STANDARDS: All client information is to be treated as confidential, including the fact that the patient receives (or previously received) services through helping professionals in this group. No client information may be disclosed without the explicit informed consent of the client and authorization by his/her clinician. The following would be inappropriate, unethical, and/or illegal: == Discussing/revealing client information to anyone outside this cohort (e.g., friends, family, fellow students or supervisees, etc.). == Discussing/revealing client information to another group member who has no legitimate need to know. == Obtaining access to client information not directly necessary for your learning in this cohort. == Copying client files or other client information available through the website onto your own computer == Placing client information on the internet or into any other publicly-available forum without consent. HELPING PROFESSIONAL CONFIDENTIALITY AGREEMENT I hereby acknowledge, by checking the box below, that I understand that any client information to which I have access is considered confidential, including clinical records, financial records, or any other identifiable information about clients discussed in our cohort. I agree Δ