Home 5 Apply To Join A Course v2 LinkedInThis field is for validation purposes and should be left unchanged.This field is hidden when viewing the formReferrerNote - this is just to demonstrate the chosen date. It will be hidden in the final formPersonal DetailsName(Required) DrMissMrMrsMsProf.Rev. Title First Middle Last Date Of Birth(Required) DD slash MM slash YYYY Address(Required) Street Address Address Line 2 City County Postcode Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email(Required) Phone(Required)Emergency ContactEmergency Contact Relationship(Required)Emergency Contact Name(Required) First Last Emergency Contact Email(Required) Emergency Contact Phone(Required)Studied with us before?Have you studied with us before?(Required) Yes NoPrevious EducationDo you have a English GCSE grade 4 (level 4) or above ?(Required) Yes NoCurrent highest qualification(s)?(Required)QualificationUndertake whereWhen completed Add RemoveSupport NeedsDo you have a learning difficulty or disability?(Required) Yes NoHave you previously had access arrangement for exams?(Required) Yes NoDo you have an Education Health Care Plan (EHCP)?(Required) Yes NoWould you like someone to contact you about additional support?(Required) Yes NoPlease tell us about any health issues which may impact on your learningPhoto and Additional DetailsPhoto(Required)Please upload a photograph of yourself Drop files here or Select filesAccepted file types: jpg, png, Max. file size: 512 MB, Max. files: 1.ID(Required)Please upload a scan of your passport photo page or driving license Drop files here or Select filesAccepted file types: jpg, png, pdf, Max. file size: 512 MB, Max. files: 1.In completing this section of the application please take some time to consider your responses carefully. These questions form part of the assessment process and it’s important to provide robust / thoughtful responses, between 100 and 250 words for each.Q1: Why are you applying for the course(Required)Q2: What do you hope to achieve from this course(Required)Q3: What do you hope to be doing in 5 years(Required)Previous StudyWhich course did you study with us before?(Required) Level 2 Counselling Concepts Level 3 Certificate in Counselling Skills BothCourse Start Date(Required) DD slash MM slash YYYY The date you started your first course with usCourse CommitmentThis is a 10-week course, delivered over 11 weeks, class time is 3 hours per week with an additional requirement for 3 to 4 hours per week of home study, assignments, research etcWritten assignments, which on occasion may overlap, are an integral part of the course and that its essential appropriate time is allocation to both completing and submitting these on time.The minimum attendance criteria is 80%In addition to the time in class, there is a breakfast morning, typically held the Saturday of week 6 and that this is an integral part of the learning and is a mandated requirement.The enhanced learning includes elements of whole class discussion, individual work, group activities and skills sessions and that participation in all aspects of the learning is essential.This is a 12-month course, with 42 weeks in class. Class time is 4 hours per week with an additional requirement for 4 to 5 hours per week of home study, assignments, research etcWritten assignments, which on occasion may overlap, are an integral part of the course and that its essential appropriate time is allocation to both completing and submitting these on time.The minimum attendance criteria is 80%In addition to the time in class, there is a residential weekend and that this is an integral part of the learning and is a mandated requirement.The enhanced learning includes elements of whole class discussion, individual work, group activities and skills sessions and that participation in all aspects of the learning is essential.This is a 2-year course, with 70 weeks in class. Class time is 5.5 hours per week with an additional requirement for 5 to 6 hours per week of home study, assignments, research etcWritten assignments, which on occasion may overlap, are an integral part of the course and that its essential appropriate time is allocation to both completing and submitting these on time.The minimum attendance criteria is 80%In addition to the time in class additional time is required for all of the following mandated elements: Residential weekend. Placement – minimum 100 hours. Supervision – typically once a month from start of placement. Counselling – 20 hours of personal counselling (10 hours to be taken each year).The enhanced learning includes elements of whole class discussion, individual work, group activities and skills sessions and that participation in all aspects of the learning is essential.In submitting this application, I acknowledge my commitment to the course in general and the key specifics outlined above.Consent and SignatureConsent(Required) I agree to the privacy policy.Signature(Required)Δ