Therapeutic Coaching Application Form
To apply for the Therapeutic Coaching practitioner training program, please complete the below.  Before doing so, please ensure you have:
1. Read our prospectus - you can download here: 
2. Watched our 1-hour webinar at 

This is a professional level training and it is important we have enough information to decide whether we feel you are a fit for the training.  Therefore, provide thorough answers to the below questions.  

If you have questions before completing, please email 
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Email *
Full name: *
Name you wished to be called if different:
Residential address (including country): *
Mobile telephone number:
Other telephone number:
Gender (if you wish to share):
Date of birth: *
Next of kin name and contact number: *
Doctor/ General Practitioner name, address and contact number: *
How did you hear about the training? *
Have you read the course prospectus? (If not please go back and read that before continuing) *
Which course are you applying for? *
What are you primarily looking for? *
Current occupation:
What do you hope to get from the course?
What do you feel your strengths are with regard to the course?
What do you feel could be your biggest challenges with the course?
What are the areas you think you most need to develop?
What relevant previous experiences/qualifications do you have?
Do you have any history of mental illness (if so, please provide details)?
When are you hoping to start the training?
Do you have any questions?
Anything else you feel we should know?
If you are accepted onto the training, please note that once course fees have been paid they cannot be refunded.  This is because once a place has been taken, that is a place that cannot be offered to somebody else.  Under special circumstances, and at our discretion, we can sometimes offer the option to defer your place until the following year.  Please tick YES below to confirm you have read and understand this.   *
Once submitted, we will contact you in the coming few days to discuss your application further.
Please check your junk/spam if you think you've not heard from us as sometimes our emails go there.
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