September 2023 CPCAB Counselling Expression of Interest Form

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Thank you for choosing the Gibraltar College as a potential centre for your continued education and professional development.

Please note that the following form is a Formal Expression of Interest Form that will be used to contact potential learners when registration window opens in September 2023 and for any urgent updates. It DOES NOT guarantee or save a place to any named course below.

Please provide valid email address *

Please confirm email address *

Specific course you are interested in registering for: *

Level 2 Certificate in Counselling Skills (CSK-L2)

Level 3 Certificate in Counselling Studies (CST-L3) must have completed CSK-L2

Required

Surname (as it appears on passport) *

First Name (as it appears on passport) *

Title (Mr/Mrs etc) *

Date of Birth (note minimum age requirements for course as detailed in CPCAB's website) *

YYYY

Telephone Number *

Mobile Number *

Is English your first language? If Not please state first language in ‘Other’ section below (e.g Spanish) *

Yes

Other:

Disability/ Special Needs: Please tick the appropriate box(es). In the space at the bottom of this section to indicate any additional support or facilities that you may need at the Gibraltar College. This information will be made available to our Examination Officer who will look into supporting applicants (with provision of appropriate documentation). *

No known disabilities

Blind or a serious visual impairment

Deaf or serious hearing impairment

Specific Learning Difficulties (eg Dislexia)

Long standing Illness or health condition

Mental health

Wheelchair user/ mobility issues

Required

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