Level 5 diploma IN COUNSELLING CHILDREN & yOUNG PEOPLE application form

Application for:

CPCAB Level 5 Diploma in Counselling Children & Young People

First name

Last name

Gender Identity

Address Line 1

Address Line 2

City

County

Post Code

Country

Phone Number

Date of Birth

Day

Month

Year

Please Note

Please ensure that your name is your legal name and that which you want to appear on your certificate.

Please ensure that your email address is typed correctly as this will be the main form of communication.

Important Note

To apply for this course, you must have a CPCAB Level 4 Diploma in Therapeutic Cousnelling or equivalent and have undergone 40 hours of personal therapy.

Please read section 5 of the CPCAB Level 5 -CYP Specification for further information. We will, of course, have an open and transparent discussion with you if you do not hold CPCAB Level 4 Diploma.

Counselling Qualifications

Please give details of all previous counselling courses you have attended; Qualification/Title, Awarding Body, Dates, Place of Study & Grade Awarded (if applicable)

Qualifications

Reference

Please provide the name, organisation, email address and telephone number for TWO referees – one of whom must be your Level 4 tutor.

Reference

Mental Health History

Counselling training courses are particularly emotionally challenging and it is important that you are in a robust emotional state of mind to undertake these qualifications. This will not necessarily preclude you from joining your preferred course; however, please state honestly if you have had a history of mental health problems and/or any significant traumatic events in your personal history - especially if these have been within the last two years.

Mental Health History

Special Educational/Learning Needs

Kent Counselling Training are committed to providing accessible courses for all who wish to apply. Please indicate if you have any specific learning needs: e.g. dyslexia, neuro-divergence, visual or hearing impairment, physical or mobility difficulty. Please also state what you might need from KCT in order for us to support you fully.

Special Educational/Learning Needs

Reason for Application

In no less than 500 words, please tell us why you would like to apply for this course:

Reason for Application

By ticking this box, I agree that all details provided on this form are true and I have not withheld any information that could be important in terms of my suitability for undertaking/continuing counselling training. I agree that if any information has not been disclosed, Kent Counselling Training reserves the right to suspend/terminate my studies. I also agree that by signing this form, I agree to Kent Counselling Training storing and using my personal information for the purposes of this app

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