Application Form – Advanced Psychoanalytic Studies Program – IPSS – The Institute for the Psychoanalytic Study of Subjectivity

Advanced Psychoanalytic Studies Program

Online Application

Thank you for filling out this application for the Advanced Psychoanalytic Studies Program. The application due date for the upcoming cohort is June 15th, 2024. Tuition is $1800.00. Tuition can be paid in 2 installments, with 50% due August 1, 2024, and the remaining 50% due December 30, 2024.

Classes are held live online via Zoom on Mondays at 10am to 11:30am (EST), from September 12, 2024 through May 2025, for a total of 24 classes. Dates and times are subject to change.

After you have submitted your application, you will be directed to the payment portal. You will receive a confirmation email upon receipt of your application and payment.

Step 1 of 6

Application due date is June 15th, 2024. Tuition is $1,800.00. Tuition can be paid in 2 installments—with 50% due August 1, 2024, and the remaining 50% due December 30, 2024. Classes are held live online via Zoom: on Mondays at 10 - 11:30 AM (EST), from September 12, 2024 through May 2025, for a total of 24 classes. Dates and times, detailed separately here are subject to change.
Applicant Information
Name*
First M.I. Last
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Office Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Office Phone Number*
Email*
Date of Birth*
MM slash DD slash YYYY
City of Birth*
Professional Title and License (e.g., Psychologist, Social Worker, Psychiatric Nurse, Teacher, etc.):

Professional Reference
Full Name
First Last
Relationship
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone

Advanced Psychoanalytic Studies Program

Online Application

Step 1 of 6

Applicant Information

Education

Professional Reference

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