INFTA CPD Application Form

Please complete and submit the INFTA CPD Application Form below in order to renew your accreditation with INFTA. Thank you.

Title *

First Name *

Last Name *

Date of birth *

Gender *

Street/P.O. Box *

City/Suburb *

Postcode *

State *

(applicants from outside Australia please select ‘other’)

Country *

Phone *

Email *

WWW

Do you have your own registered Forest Therapy business/company? *

If 'yes' what is the name of your business/company?

Have you obtained all relevant licences and insurance policies for the renewal of your INFTA Accreditation? *

Please note that INFTA reserves the right to inspect the relevant licences and insurance policies which you are required to have to conduct guided Forest Therapy walks.

Please list the licenses and insurance policies you have which are relevant for the desired INFTA Accreditation. *

Please list the name and specifics of each license and insurance policy.

When did you obtain your last First Aid Certificate? *

Conduct of Forest Therapy sessions *

How many Forest Therapy sessions did you guide during the last twelve months? Please select the appropriate number and complete the table below indicating the location, date, duration and number of participants for up to 10 Forest Therapy sessions.
Forest Therapy events in which you only assisted an INFTA-Certified Forest Therapy Guide do not count.

Session #1: Location

Date

Duration

N of Participants

Session #2: Location

Date

Duration

N of Participants

Session #3: Location

Date

Duration

N of Participants

Session #4: Location

Date

Duration

N of Participants

Session #5: Location

Date

Duration

N of Participants

Session #6: Location

Date

Duration

N of Participants

Session #7: Location

Date

Duration

N of Participants

Session #8: Location

Date

Duration

N of Participants

Session #9: Location

Date

Duration

N of Participants

Session #10: Location

Date

Duration

N of Participants

Participation in CPD workshops *

Did you participate in any CPD workshop offered by INFTA, its accredited training providers or partner organisations during the last 12 month?
Please select the appropriate option and complete the table below indicating the type of workshop and date you participated. Add specifics about the CPD workshop if it was not conducted by INFTA.

Workshop #1

Date

Specifics (optional)

Workshop #2

Date

Specifics (optional)

Workshop #3

Date

Specifics (optional)

Workshop #4

Date

Specifics (optional)

Feel free to leave any comments you wish to make regarding your INFTA CPD Application.

(your response should not exceed 200 words)

Your name in full *

(for verification, please type your full name again)

I have read and understood the Disclaimer, Privacy Policy and Terms & Conditions. *

(for further details on the Disclaimer, Privacy Policy and Terms & Conditions please follow these links)

I consent that I have to provide supporting documents (licences, insurance policies or client feedback forms etc.) upon request by INFTA. *

Name

INFTA CPD Application Form

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