Living Wholeness PACT Application Form 2024 Intake

Please answer all questions. 

Email *
1. Name *
2. City/Area where you live *
3. Nation where you live currently *
4. Passport nationality/ies *
5. Email *
6. Age *
7. Gender *
8. Married or single *
9. Current work setting , including any voluntary work you might do. *
10. Home church fellowship *
11. English fluency *
Required
12. Counselling training you have attended in the past

· length of the training

· qualifications received

· include lay and pastoral counselling training

 *
13.  Professional or pastoral counselling experience

· hours or

· years

 *
14. Training experience (you training others in any domain)

· Hours or

· Years

· Level, what topics, and what type  of training you offer

 *
15. What are your future goals? *
16. How could this PACT training help you achieve those goals? *
17. Can you commit to attend the full course as described above, including the face to face components which will be held in a city most central to participants.  NOTE the next PACT in 2024 is planned somewhere in Indian Subcontinent.
 *
18. Can you attend with at least 2-3 other people, who speak your first language, who you can work together with for the duration of, and after the course?
 *
19. Names of person/s you would hope to attend with.
 *
20. Two names of referees and email addresses
 *
A copy of your responses will be emailed to .
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