ReStart Application Form
In order to be accepted onto the 7-month ReStart Therapeutic Coaching Programme you will need to complete this application form in as much detail so the team can assess your suitability. The next programme will start in 2022 (dates and times to be confirmed)
Step 1: Complete the application
Step 2: Your application will be assessed
Step 3: You will notified of the outcome and potentially be invited for a pre-interview
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Email *
ReStart programme flyer
What is your full name? *
Are you known by another name?
Please provide contact details: Mobile Number and Address (Include country and dialling codes) *
Emergency Contact (Name, relationship & contact number) *
Why do you feel you would benefit from attending this programme? *
What outcomes would you like? *
Are you still attending/involved in a spiritually toxic/abusive environment? *
Tell us a little about yourself *
What have you experienced? (Please add detail and examples) *
What support (if any) have you received? *
Any additional needs or requirements we need to be aware of? *
What time(s) of the day would you have availability to attend the programme? (British time zone)   *
How did you hear about the programme? *
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