September 7, 2010  
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Certificate9 - Application Form  
Application for Certificate in Counselling Skills

You may download the Application Form and return it by post along with the processing fee.

Download Here (PDF format) 

Alternatively, you may fill in the Online Application Form below, and post the processing fee of £20.00 (along with a note of your name, address and the course for which you are applying).

Forms and Fees should be posted to:

The Course Administrator
The Garnethill Centre
28 Rose Street
Glasgow G3 6RE

Please note: The closing date for 2010-11 applications is 22 August 2010.
 
Application Form for Certificate in Counselling Skills

CERTIFICATE IN COUNSELLING SKILLS

Application Form 2010 - 2011
Your Name      
Your Email      
Building / Street No      
Street      
Area      
Town/City      
Postcode      
Telephone (Work)      
Telephone (Home)      
Mobile      
Date of Birth      
I am applying for...    
 
Modules    


 
Are you self-financing?      
Current Appointment and work setting (include part-time and voluntary work where relevant):      
Please provide relevant qualifications and details of your experience of previous counselling, or use of counselling skills. Where supervision has been received, please give a brief description:      
Qualifications / experience:      
Please list any other relevant qualifications:      
Reasons for applying for the course      
Please provide the name, address and telephone number of a referee who knows your work and potential for use of counselling skills      
Referee Name      
Referee Building / Street No      
Referee Street      
Referee Area      
Referee Town/City      
Referee Postcode      
Referee Telephone No      

 
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