Level 2 Certificate in Counselling Skills - New Joiner Form
Please fill out the below application form to join the Level 2 Certificate in Counselling Skills course.

Once your application has been received, a tutor will contact you to assess your suitability for the course.
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Email *
Your first name(s) *
Your surname *
Your date of birth *
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Telephone number *
Full address *
Post code *
Where did you hear about the Hub/Connect? *
Which class would be your first choice to attend? *
Which other class could you attend? Select ALL that apply. We will endeavor to give students their first choice where possible whilst balancing attendance across all classes. *
Required
Can you briefly explain what interests you about counselling? *
Please give details of any previous experience that you feel is relevant to this field. *
Please give details of any criminal convictions. *
Do you have any special learning requirements, learning disabilities or physical difficulties? Please give as much detail as you can. *
Can you provide details of any reasons that you know of that would stop you attending the course and meeting the 85% attendance requirements? *
Have you experienced a mental health problem such as depression or anxiety, addiction, eating disorders or a personality disorder? If so, please provide details including the length of time since recovery. *
Referee details
Please provide the details of someone who can act as a referee. A previous course tutor, employer or professional would be useful
Name of your referee *
Address of your referee *
Referee email address *
Referee phone number *
Your relationship to the referee *
I confirm I have downloaded and read the course document *
I confirm I have read the terms & conditions
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