NCFE CACHE Counselling Courses Enrolment & Registration

About you

Title

First name

Surname

Date of Birth

Age

Contact phone number

Preferred contact number

Mobile

Home

OtherOther

How would you describe your ethnicity?

Postcode

Address line 1

Address line 2

Address line 3

Town / City

Country

About your course

How would you like us to contact you?

By Phone

By Text

By Email

Are you over 16 years of age?

Yes

No

Emergency contact details

Emergency contact first name

Emergency contact Surname

Mobile phone number

Home phone number

This area of the application form is an assessment of English Language which forms part of each learners Individual Learning Plan before you begin learning.

Why have you chosen to study counselling skills?

What are your expectations by completing this course?

What is your job title?

What will you use your counselling skills for once qualified?

What are your short-term and long-term goals?

Give a description of any volunteering that you may have done in the past

Would you be interested to volunteer using your counselling skills for Life? (Helpline, Text-to-Talk, e-mail) once you have completed the course?

Yes, count me in

No thanks

Do you have any special requirements or a learning needs that we need to be aware of?

Data consent

I consent to Life holding and processing my personal data and the emergency contact information for the purpose of registering on this course