JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Counselling Programme Enquiry Form 2024-25
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name:
*
Your answer
Contact Number:
*
Your answer
Post Code:
*
Your answer
Date of Birth:
*
Your answer
Email Address:
*
Your answer
Course you are interested in applying for:
*
Level 2 Certificate in Counselling Skills
Level 3 Certificate in Counselling Studies.
Level 4 Diploma in Therapeutic Counselling
Not sure - I would like further guidance
Required
Would you prefer:
*
Fully online (Level 2 & 3 only)
Blended (a mix of face to face and online)
Would you prefer:
*
Daytime
Evening
Either
Do you have any prior skills, knowledge or experience of helping / counselling?
Your answer
Please detail any relevant qualifications or training that you have undertaken. (Copies of your relevant qualifications will be requested)
Your answer
What do you want to gain from completing the course you are enquiring about?
*
Your answer
Do you have GCSE English at grade A-C or equivalent, a good standard of computer skills and access to a computer, printer and the internet?
Your answer
Do you have any additional support needs that we will need to know about in order to support you fully in your training? e.g. Dyslexia, hearing or sight impairment, access arrangements.
*
Yes
No
If yes, what adjustments might you need to enable you participate fully in our programme?
Your answer
Have you experienced or are experiencing any issues that may impact on your ability and capacity to engage with a counselling course? Please note it is important to be as honest as possible so that we can support you fully in your application.
Your answer
If we feel it would be helpful in progressing with /your application, we may invite you to attend an interview with the lead tutor.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of York Learning community education.
Report Abuse
Forms
