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Tel. (972)
2-571-5112 Email: office@refuah.net
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Refuah
Institute
Professional
Counselor Training Program For Men & Women In Accordance with Torah
Hashkafa
Professor Joshua Ritchie, M.D., Dean
Certified Professional Coach
Diploma
APPLICATION
This information allows us to select appropriate students and does not oblige you to take the course
Name ___________
(Salutation)
(First Name)
(Last
Name)
(Degrees)
Address (Home) _____
(Street and Number)
(City)
(Zip Code)
E-mail Preferred way to receive material: ______
Tel (H) (W) Fax Cell __________
Date of Birth Place of Birth Marital Status ______
Education: (Institution, dates, field of
study, Degrees & Certificates)
__________________
Experience: (work & volunteer, include
dates & supervisors name & way to contact)
________________________________________________
References: (provide name, position/title, and phone or way to contact)
_______
Religious Reference: (Rav / Rebbitzen / Congregation / affiliation and contact phone number)
_______
Certified Professional Coach Diploma - DISTANCE LEARNING PROGRAM
by simultaneous interactive telephone Conference and or by internet video conferencing .
Tuition: $5,900
You may attach your résumé or C.V. A photo of yourself is helpful.
Signed: Date:
For information call the office: International 646-3959-613, NY 718-438-4466, Israel (972) 2 571-5112
Please send this application to: Fax 347-493-3554, Email: refuahoffice@gmail.com
or mail to: NY office,
Esti Gluck,
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REFUAH INSTITUTE Tel. (972) 2-571-5112 Fax (972) 2-587-9557 Email: refuahoffice@gmail.com |