Therapist Registration – ICEEFT Members Site

Personal Information
Title
Name*
First Last
Email Address*

This email address will be used by ICEEFT to contact you, but it will not be made publicly available.
Professional Education
Degrees Completed
If you are a licensed, practicing therapist and also a student, do not check the "I am a student" box. Students cannot be listed in our "Find A Therapist" directory at www.iceeft.com .
- I am a student
If you are a licensed, practicing therapist and also a student, do not check the “I am a student” box. Students cannot be listed in our “Find A Therapist” directory at www.iceeft.com .
Instructor Name*
Training Streams*
Training Location*
Training Date*
MM slash DD slash YYYY
If you have not taken any training, you are still qualified for associate membership. Associates cannot subscribe to the EFT Topicbox and cannot be listed in our "Find A Therapist" directory at www.iceeft.com .
- I have not taken any training
If you have not taken any training, you are still qualified for associate membership. Associates cannot subscribe to the EFT Topicbox and cannot be listed in our “Find A Therapist” directory at www.iceeft.com .
Business Address
Address*
Street Address Address Line 2 City Province/State (do not abbreviate) ZIP / Postal Code Country
Phone Number
Fax Number
Public Email Address
Website Address
Other
Account Settings

Please enter a username and password of your choosing. You will use this username and password to access the members-only web site.
Username*
Password*
Enter Password Confirm Password
CAPTCHA

Personal Information

Professional Education

Business Address

Account Settings