Enrollment Form

Enroll in Adelphi’s certificate program for Creative Arts Therapy for Mental Health Professionals.

Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Work Phone
Email*
Employer
Years Employed in the Nonprofit Sector
Degrees Held
Provide a brief biography including educational background, work and volunteer history. (100 word limit)
You may attach a resume.
Accepted file types: doc, txt, rtf, docx.
Acceptable file formats: .doc, .txt, .rtf, .docx
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- By checking this box you are affirming the accuracy of your statements contained within this application.

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