Course Application Form

Use this page to make your Course Application and to pay a Course Application Fee with your debit or credit card or with a Paypal account. There are 20 questions and it takes about 30-40 minutes to fill. You will also need to have a CV ready to upload. You can save your work and resume it later if necessary – see the option on the bottom of the form. We process all payments securely and confidentially using Paypal and you will receive a receipt. See here for Terms and Conditions. See here for Data Protection And Privacy Policy. We encourage you to read these.

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1. This Course Application Is For

Certificate Course
Degree Course

2. Name (as per your passport)

First

Last

3. Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

4. Email

5. Phone

6. Date Of Birth

7. Where did you hear about this course?

8. Outline any relevant professional experience or previous counselling course

9. Describe relevant personal experience

10. Describe your relevant educational history and how you propose to meet the academic demands of the course

11. Discuss your professional and personal reasons for making your application

12. As this course is personally, and in particular emotionally demanding please tell us how you usually cope with stress and how you support yourself in challenging situations?

13. Do you have any medical condition we need to be aware of?

14. Are you currently on any medication?

15. Convictions: Please give details of any criminal convictions you may have (please include any which may be pending):

16. Please upload a current Curriculum Vitae

Click or drag a file to this area to upload.

17. Signature - please sign here

Clear Signature

18. Application Fee Payment

Price: 150,00 €

Card Number

Expiration Date

Security Code

Card Holder Name

Please enable JavaScript in your browser to complete this form.

1. This Course Application Form Is For:

Certificate Course
Degree Course

2. Name (as per your passport)

First

Last

3. Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

4. Email

5. Phone

6. Date of Birth

Applicants must be 23 years of age or over

7. Where did you hear about this course?

8. Outline any relevant professional experience or previous counselling course

9. Describe relevant personal experience

10. Describe your relevant educational history and how you propose to meet the academic demands of the course

11. Discuss your professional and personal reasons for making your application

12. As this course is personally, and in particular emotionally demanding please tell us how you usually cope with stress and how you support yourself in challenging situations

13. Do you have any medical condition we need to be aware of?

14. Are you currently on any medication?

15. Convictions: Please give details of any criminal convictions you may have (please include any which may be pending):

16. Please upload a current Curriculum Vitae

Click or drag a file to this area to upload.

17. I consent to paying the Course Application Fee of €150 to cover screening, correspondence and interview costs

Course Application Fee - 150,00 €

18. Signature - please sign here

Clear Signature

PayPal Commerce

Card Number

Expiration Date

Security Code

Card Holder Name

Course Application Form

Where ordinary

people can make

an extraordinary

difference.

Part Funded by:

Part Funded by:

Confidentiality Is Essential

Course Application Form

Where ordinary people can make an extraordinary difference. Part Funded by:

Part Funded by:

Where ordinary

people can make

an extraordinary

difference.

Part Funded by: