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Level 3 - Certificate in Counselling Studies - New Course Joiner Form
Please fill out the below application form to join the Level 3 Certificate in Counselling Studies course.
Once your application has been received, a tutor will contact you to assess your suitability for the course.
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Email
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Your email
Your first name(s)
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Your answer
Your surname
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Your answer
Your date of birth
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YYYY
Telephone number
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Your answer
Full address
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Your answer
Post code
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Your answer
Where did you hear about the Hub/Connect?
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Google or equivalent search engine
Facebook
Instagram
Someone recommended us to you
I'm an existing student
Other:
Which class would be your first choice to attend? If an option is missing, the class is full.
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[309] Bristol Classroom: Tuesday daytime course - March 2024
[310] Online: Tuesday daytime course - March 2024
[311] Online: Thursday daytime course - March 2024
[313] Online: Tuesday daytime course - April 2024
[314] Online: Tuesday evening course - April 2024
Other:
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.
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[309] Bristol Classroom: Tuesday daytime course - March 2024
[310] Online: Tuesday daytime course - March 2024
[311] Online: Thursday daytime course - March 2024
[313] Online: Tuesday daytime course - April 2024
[314] Online: Tuesday evening course - April 2024
Other:
Required
Please state whether you are currently or have previously studied with Astranti Connect (or the Devon and Cornwall Counselling Hub):
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Current student of Astranti Connect
Previously a student or Astranti Connect (or Devon and Cornwall Counselling Hub)
New student
Have you completed a Level 2 counselling qualification?
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Your answer
What was the awarding body for this qualification?
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Your answer
Did you qualification include at least 80 guided learning hours?
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Your answer
Was your course delivered in the classroom, online live (eg on zoom) or was it a home-study online course (in your own time and not with the tutor/your peers)?
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Your answer
Was your course delivered in the classroom, online live (eg on zoom) or was it a home-study online course (in your own time and not with the tutor/your peers)?
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Your answer
Did your qualification include live skills sessions with your peers to practice?
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Your answer
Did these sessions use real material from your peers or role-play material?
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Your answer
Can you briefly explain what interests you about counselling theory?
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Your answer
Name a piece of self awareness you gained from your previous training and the impact it had on you.
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Your answer
How would you handle a situation where the course was not meeting your expectations?
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Your answer
Have you considered the practical requirements of the course? For example travelling to a training centre or the IT requirements for online training?
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Your answer
If you've engaged in personal counselling, roughly how many hours of counselling have you attended?
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Your answer
Please give details of any criminal convictions.
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Your answer
Do you have any special learning requirements, learning disabilities or physical difficulties? Please give as much detail as you can.
Your answer
Can you provide details of any reasons that you know of that would stop you attending the course and meeting the 85% attendance requirements?
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Your answer
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.
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Your answer
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
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Your answer
Address of your referee
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Your answer
Referee email address
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Your answer
Referee phone number
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Your answer
Your relationship to the referee
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Your answer
I confirm I have downloaded and read the course document
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I confirm
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