Diploma Online Booking Form

You can submit your application using the form below.  Alternatively, you may prefer to download and print the application form, complete and return to us.

    First Name

    Surname

    Date Of Birth

    Address

    Post Code

    Mobile No

    Home Phone

    Email

    Preferred Course - please indicate

    Qualifications, Training and Experience

    Please give details of your previous qualifications/training related to Counselling/Psychotherapy or other helping professions. What has led to your interest in this course? (Minimum 300 words)

    What are your core personal values, (what is important to you), and how do these influence how you live your life? (Minimum 300 words).

    Please give details of your current practice base or your plans for arranging a placement which could provide 100 - 200 hours Face to Face CBT practice.

    Please provide any additional information that may support your application

    Please use this section in the best way you can. Applications for this course are high, and the application form contributes to the entry criteria.

    References

    Please supply 2 references in support of your application for the Diploma course. These may be submitted with this application, sent separately or brought to your interview. The references should attest to your personal and academic suitability for undertaking a courseof this nature

    Employer Details

    Get in touch

    How we use your information on this page...

    WHAT DO WE DO WITH YOUR NAME?

    We take your name in order to know who we are talking to. This will only come to us in the form of an email. For more information see our Privacy Policy here.

    WHAT DO WE DO WITH YOUR EMAIL ADDRESS?

    We use your email address so that we can reply to your query. We only use it for these purposes and do not sell this information on to any 3rd party. For more information see our Privacy Policy here.

    WHAT DO WE DO WITH YOUR ADDRESS AND POSTCODE?

    We take your address so that we can post any correspondence regarding your application. We only use it for these purposes and do not sell this information on to any 3rd party. For more information see our Privacy Policy here.

    WHAT DO WE DO WITH YOUR CONTACT NUMBER?

    We will only use this if we need to correspond with you regarding your application. We only use it for these purposes and do not sell this information on to any 3rd party. For more information see our Privacy Policy here.

    WHAT DO WE DO WITH YOUR QUALIFICATIONS, TRAINING AND EXPERIENCE INFORMATION?

    We use this information to find out what present qualifications, training and experience you have to know if you fulfil the course requirements for entry. We only use it for these purposes and do not sell this information on to any 3rd party. For more information see our Privacy Policy here.

    WHAT DO WE DO WITH YOUR CURRENT PRACTICE / PLACEMENT INFORMATION?

    We use this information to find out what current practice you are undertaking or of any placements you plan to undertake that can provide 100-200 hours of Face to Face CBT practice. We only use it for these purposes and do not sell this information on to any 3rd party. For more information see our Privacy Policy here.

    WHAT DO WE DO WITH YOUR PREVIOUS EXPERIENCE INFORMATION?

    We use this to inform us of what previous experience you have had in CBT, Counselling and Supervision. We only use it for these purposes and do not sell this information on to any 3rd party. For more information see our Privacy Policy here.

    WHAT DO WE DO WITH YOUR GROUP / COMMUNITY EXPERIENCE INFORMATION?

    We use this information to see what group and community experience that you have had that will support your application. We only use it for these purposes and do not sell this information on to any 3rd party. For more information see our Privacy Policy here.

    WHAT DO WE DO WITH YOUR ADDITIONAL INFORMATION?

    We use this additional information to inform us of anything else that may support your application. We only use it for these purposes and do not sell this information on to any 3rd party. For more information see our Privacy Policy here.

    WHAT DO WE DO WITH YOUR REFERENCES INFORMATION?

    We use these references to support your application. You must have permission from your reference provider to submit your reference. We only use it for these purposes and do not sell this information on to any 3rd party. For more information see our Privacy Policy here.

    CAN I HAVE ACCESS TO MY DATA?

    Yes, you can contact us and request this and if you wish for it to be deleted we will delete upon request. For more information see our Privacy Policy here.

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