Application Form

1. Course Details

Enter the details of the course you would like to apply for.

2. Personal Details

Identification

To confirm your identity, please provide a copy of photo ID (e.g driving licence photo page or Passport photo page) by email to enrolments@heartwoodcounselling.org

Learning requirements

Emergency Contact details

Please could you supply us with emergency contact details:

3. Entry Requirements

Only applicable if registering for Level 4 or above. Please list the details of your qualifications below (most recent, most relevant and highest level of achievement). Otherwise add N/A and click Next.

4. Referee / Interview

(Note this question is only applicable if registering for level 4 or above, otherwise click Next).

Please provide one independent referee who has known you for at least 2 years (must not be a relation/member of your family. By completing below you confirm that you have permission to share these details.

Confirmation of pre-course interview (level 4 Only)

5. Personal statement and agreement

Your personal data will be used to process your enrolment, support your experience throughout this website, and for other purposes described in our privacy policy.