Short Course / Rewriting the Script: Using Transactional Analysis Creatively
To apply for this course couldn’t be easier. simply fill in the application form below and leave the rest to us.
Application form
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
County
Postcode
Telephone
*
Gender
*
Female
Male
Other
Pronouns
Ethnicity
*
Please Select
White British
Mixed or multiple
Asian or Asian British
Black, African, Caribbean or Black British
Other
Languages
*
English
Spanish
Chinese
Hindi
Arabic
Portuguese
Bengali
Russian
Japanese
French
German
Other
Date of birth
*
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
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
*
No
Yes
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
*
Equal opportunities
Please list any physical or sensory disabilities that might affect your studies
Do you require support facilities or additional support from CPPD?
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."
*
Yes I agree
Name
*
First Name
Last Name
Date
*
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Please confirm your email address
example@example.com
Submit
Should be Empty: