Diploma in Humanistic Integrative Counselling / Application

Diploma in Humanistic Integrative Counselling.

To apply for this course couldn’t be easier. simply fill in the application form below and leave the rest to us.
Application form
Please do not fill out this form if you are currently studying on the CPPD Certificate in Humanistic Integrative Counselling. You will be sent an internal application form once your tutor approves your progression.
Which version of the course do you want?
Do you have a cohort preference?
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityCounty

Postcode
Telephone
Gender
Pronouns
Ethnicity
Languages
Date of birth

DayMonthYear
Do you have any access requirements or support needs, for example in relation to disability or neurodiversity? Sharing this information is entirely optional and will be used only to help us provide appropriate support during your studies
If you answered yes, please give more details
How did you hear about CPPD?
Education
What is the highest level of education you have completed so far?
Subject name
Year of completion
Additional qualifications (if applicable)
Employment history (Current and previous employment)

Please give details of your last three jobs
Name of employer
Position held
Start date

DayMonthYear
End date

DayMonthYear
Is this your current job?
If you answered no, please give a reason for leaving
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End date

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Reason for leaving
Name of employer
Position held
Start date

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End date

DayMonthYear
Reason for leaving
Name of employer
Position held
Start date

DayMonthYear
End date

DayMonthYear
Reason for leaving
Experience in counselling
If you have any experience in counselling or of working in a therapeutic environment, please give a summary of details:
Please upload either your counselling course certificate OR a letter from your current training organisation, confirming the name of the course you are enrolled on, how many hours the course covers and when it ends. This letter needs to be on headed paper and signed by a member of staff (File max 10mb) Please also ensure whichever document you upload is clearly labelled with your full name

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Reference 1

Please give a name of a reference that has known you for at least 2 years. One of these must be the tutor from your Certificate course. References cannot be provided by friends or family members.
Referee name
Referee position
Referee email
Reference 2
Referee name
Referee position
Referee email
Personal statement
Please write a concise statement of between 200-400 words. This should include something about your formative personal and professional experiences and any other information that you consider will be relevant to your application. Please include your reasons for choosing the course at this time.
Equal opportunities
Please list any physical or sensory disabilities that might affect your studies
Do you require support facilities or additional support from CPPD?
Disclosure
Do you have any disqualifications from any professional organisations?
If you answered yes, please give more details
Do you have any criminal offences, either spent or unspent?
If you answered yes, please give more details
Declaration
By ticking this box you agree to the following declaration: “I hereby declare that by submitting this form to CPPD, all of the information I have provided is, to the best of my knowledge, correct and truthful."
Name

First NameLast Name
Date

DayMonthYear
Date
Please confirm your email address
example@example.com
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Diploma in Humanistic Integrative Counselling.

Application form

Please do not fill out this form if you are currently studying on the CPPD Certificate in Humanistic Integrative Counselling. You will be sent an internal application form once your tutor approves your progression.

Education

Employment history (Current and previous employment)

Experience in counselling

Reference 1

Reference 2

Personal statement

Equal opportunities

Disclosure

Declaration