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Certificate in Counselling

Certificate in Counselling How to Become a Counsellor How to Become a Psychotherapist

ONLINE APPLICATION FORM

Before you start please have digital copies of any documents you want to upload.

SELECT COURSE/VENUE

CONTACT DETAILS

First name:

Surname:

Street Name 1:

Street name 2:

City:

Country:

Postcode:

Email:

Phone No.:

ADDITIONAL INFORMATION

Preferred name:

Preferred pronoun:

Date of birth:

Education & Employment Details

Highest Level Qualification:

Most Recent Job Title:

Company Name:

ACADEMIC / VOCATIONAL QUALIFICATIONS

Course:

College/University:

Completion date:

Result:

Attach certificate:

Press ADD to attach qualifications to application form.

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PERSONAL STATEMENT

Please tell us about yourself and why you are applying for this course, with reference to your previous experience in relevant entry level training:

DISABILITY SUPPORT

If you have an ongoing health condition, a mental health diagnosis, a disability or have learning support needs, please let us know here. We will contact you to discuss your requirements in relation to the selected course and discuss the support and facilities available.

TERMS & CONDITIONS

I confirm that I have read and agree to the Terms and Conditions of the Student Agreement and the Finance Agreement available on the Iron Mill College web site

Where did you hear about us?

Did you attend an open day / open evening / online course presentation prior to the course?

Course Venues: Exeter | Poole