Expenses/Fees Claim Form – William Glasser Institute Ireland

After completing an official WGI course (Basic, Advanced , Certification or Faculty Training) please complete this form.

Course Code (or Event Title)

Type of Course/Event *

Click on the item (training, event or meeting) for which you wish to claim expenses and/or fees.

Names of Practicum Trainees

The names of trainees only needs to be supplied in the case of Basic or Advanced Practicum.

Dates *

Please indicate starting date and finishing date (if different)

Venue *

e.g., Education Centre, Drumcondra; Online.

Instructor/Presenter/Organiser *

PROFESSIONAL FEE

€900 for Intensive course, €950 for double-weekend course, €254/day for Faculty Training programme. Practicum fee depends on the number of trainees in the group. Please provide the total fee you are claiming.

Accommodation Expenses

UCD residence €40/day, Hotel €100/day. Please enter the total for your stay.

Travel Expenses (Car)

40c/km, minimum claim €5. Please enter the total cost for your journeys.

Travel Expenses (Public Transport)

Please enter the total cost.

Other Expenses

Please enter the details and costs.

TOTAL AMOUNT CLAIMED *

IMPORTANT: Please enter the total of all the above expenses (in Euros).

Name and location of your bank *

IBAN code *

SWIFT code

This code is not required for money transfers within the Republic of Ireland

Your email address *

Please enter this carefully. Double check it.

Your contact phone number. *

Remember to click SUBMIT.

The form will be sent to the WGII person in charge of courses.

TECHNICAL NOTE: For security purposes we use reCAPTCHA in our forms. If reCAPTCHA blocks your form, use your browser’s refresh option to continue.