Application Form

EMDR Basic Training for Military Psychologists

Thank you for your interest in the EMDR Basic Training Program with Susan Wendelborg and Yulia Brockdorf.

This program is designed for active Ukrainian military psychologists who meet the professional eligibility requirements for EMDR basic training.

The training will include:

online modules on 10–12 July 2026;

online modules on 18–20 September 2026;

practical sessions (online) in August and October 2026

in-person practical sessions in Ukraine (Kyiv) in December 2026.

The training and training materials are provided free of charge. Participants are responsible for their own travel and accommodation expenses related to the in-person sessions.

Please complete this form carefully. The information you provide will be used by WISPR for the initial eligibility screening. Documents of shortlisted candidates may then be shared with Susan Wendelborg for final eligibility review.

Tell us a bit more about yourself

Are you currently an active-duty member of the Armed Forces of Ukraine or another institution within the Security and Defence Sector of Ukraine?

Are you currently serving in a military psychologist position?

What is your current professional position?

Please provide the general title of your position. Do not include your unit number, deployment location, command structure, or other operationally sensitive information.

How long have you been working as a military psychologist or performing psychological duties?

Please briefly describe your current professional responsibilities.
Do not include names, unit details, deployment locations, classified information, or identifiable client information.

3. Current Clinical Practice

Do you currently work directly with clients?

Approximately how many individual clients did you work with during the last 60 days?

Approximately how many individual psychological sessions did you conduct during the last 60 days?

What types of clients do you currently work with?

What types of psychological difficulties do you most commonly work with?

Do you expect to have an active client caseload during the training period from July to December 2026?

Will you have opportunities to apply the skills learned during the program in your professional practice?

4. Professional Role and Qualifications

Which of the following best describes your professional background?

What is the highest level of education you have completed?

Name of the educational institution

Which therapeutic approaches, methods, or areas of practice have you studied?

Please list the most relevant professional training programs you have completed or are currently completing.

For each training, please include:

name of the training or program; therapeutic approach or method; training provider; year of completion; approximate number of training hours; whether the training was completed or is still ongoing

Are you currently receiving professional supervision?

5. English Language Proficiency

How would you rate your current level of English?

Please answer the following question in English:
Why would you like to participate in this EMDR training, and how do you plan to use the knowledge and skills in your professional practice?

Please write 100–200 words.

Availability

Are you available to participate in all required components of the program?

The program currently includes:

- online training on 10-12 July 2026, approximately 14:00–23:00 Kyiv time;

- online training on 18–20 September 2026, approximately 14:00–23:00 Kyiv time;

- practical sessions (online) in August and October 2026

- in-person practical sessions in Ukraine (Kyiv) in December 2026.

Please note that the exact dates of the in-person sessions and the final online training hours will be confirmed later

I understand that the training and materials are free of charge, but I am responsible for my own travel and accommodation expenses for the in-person sessions.

6. Additional Questions

Do you have any questions for the WISPR team or the trainers?

Declaration and Consent

Please confirm the following:

Application Form

Tell us a bit more about yourself

Are you currently an active-duty member of the Armed Forces of Ukraine or another institution within the Security and Defence Sector of Ukraine?

Are you currently serving in a military psychologist position?

Please briefly describe your current professional responsibilities.
Do not include names, unit details, deployment locations, classified information, or identifiable client information.

What types of clients do you currently work with?

What types of psychological difficulties do you most commonly work with?

Do you expect to have an active client caseload during the training period from July to December 2026?

Will you have opportunities to apply the skills learned during the program in your professional practice?

What is the highest level of education you have completed?

Field of study

Name of the educational institution

Year of graduation

Please upload your diploma.

Which therapeutic approaches, methods, or areas of practice have you studied?

Please list the most relevant professional training programs you have completed or are currently completing.

Are you currently receiving professional supervision?

Please answer the following question in English:
Why would you like to participate in this EMDR training, and how do you plan to use the knowledge and skills in your professional practice?

I understand that the training and materials are free of charge, but I am responsible for my own travel and accommodation expenses for the in-person sessions.

Declaration and Consent

Full name
Please enter your full name as an electronic signature.

Date

Application Form

Tell us a bit more about yourself

Are you currently an active-duty member of the Armed Forces of Ukraine or another institution within the Security and Defence Sector of Ukraine?

Are you currently serving in a military psychologist position?

Please briefly describe your current professional responsibilities.Do not include names, unit details, deployment locations, classified information, or identifiable client information.

What types of clients do you currently work with?

What types of psychological difficulties do you most commonly work with?

Do you expect to have an active client caseload during the training period from July to December 2026?

Will you have opportunities to apply the skills learned during the program in your professional practice?

What is the highest level of education you have completed?

Field of study

Name of the educational institution

Year of graduation

Please upload your diploma.

Which therapeutic approaches, methods, or areas of practice have you studied?

Please list the most relevant professional training programs you have completed or are currently completing.

Are you currently receiving professional supervision?

Please answer the following question in English:Why would you like to participate in this EMDR training, and how do you plan to use the knowledge and skills in your professional practice?

I understand that the training and materials are free of charge, but I am responsible for my own travel and accommodation expenses for the in-person sessions.

Declaration and Consent

Full namePlease enter your full name as an electronic signature.

Date

Please briefly describe your current professional responsibilities.
Do not include names, unit details, deployment locations, classified information, or identifiable client information.

Please answer the following question in English:
Why would you like to participate in this EMDR training, and how do you plan to use the knowledge and skills in your professional practice?

Full name
Please enter your full name as an electronic signature.