Appendix 1 (title page for abstracts)

Interregional Institute of Gestalt Therapy and the Arts (MIGIS)

THEORETICAL REFERAT / SMALL PRACTICAL REFERAT / LARGE PRACTICAL REFERAT / PSYCHOLOGICAL AUTOBiOGRAPHY / SUMMARY OF WORK IN SMALL THERAPY GROUP - to be chosen according to your work
on the topic: «___________________________________________________»

Completed (a):
____________________________
(FULL NAME)
Program Supervisor:
____________________________
(SURNAME)

Verified by (a): ______________________________________ ________________
(Name) (Signature)

"_____"_______________ 20__        ________________

      (Signed)

city _______________