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?
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Please Select
Spring
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Charedi
Do you have a cohort preference?
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Name
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First Name
Last Name
Email
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example@example.com
Address
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Street Address
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Gender
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Ethnicity
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English
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Date of birth
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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
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Yes
If you answered yes, please give more details
How did you hear about CPPD?
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Education
What is the highest level of education you have completed so far?
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Subject name
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Year of completion
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Additional qualifications (if applicable)
Employment history (Current and previous employment)
Please give details of your last three jobs
Name of employer
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Position held
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Start date
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End date
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Is this your current job?
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If you answered no, please give a reason for leaving
Name of employer
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Position held
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Start date
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End date
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Reason for leaving
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Name of employer
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Position held
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Start date
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End date
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Reason for leaving
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Name of employer
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Position held
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Start date
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Day
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Year
End date
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Reason for leaving
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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
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Referee position
*
Referee email
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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.
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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?
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Yes
No
If you answered yes, please give more details
Do you have any criminal offences, either spent or unspent?
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Yes
No
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."
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Yes I agree
Name
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First Name
Last Name
Date
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Day
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Month
Year
Date
Please confirm your email address
example@example.com
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