Skip to content
Holistic Counselling Part 1 Course Registration Form (January 2025)
*
1.
Name of Course
(Required.)
Holistic Counselling Part 1
*
2.
Scheduled Start Date of Course (Month & Year)
(Required.)
*
3.
Contact Information
(Required.)
Name
*
Address
*
Address 2
Country
Email Address
*
Phone Number(s)
*
*
4.
Gender
(Required.)
Male
Female
*
5.
Age Range
(Required.)
Under 20 years
20-29 years
30-39 years
40-49 years
50-59 years
60-69 years
Over 70 years
6.
Field of Employment
7.
Church/Organisation
*
8.
Kindly indicate which admission requirements have been met (select at least one)
(Required.)
GCSE or CSEC Pass(es)
Training in Ministry, Counselling, Psychology or related field
Proficiency in Reading & Writing
Recommendation from Church/Pastor or Organisation
*
9.
How did you hear about this course?
(Required.)
Church/Pastor
Relative/Friend
Email Marketing
Nation Newspaper
Radio
Other (please specify)
*
10.
What do you expect to gain from this course?
(Required.)
*
11.
How do you plan to use the knowledge gained?
(Required.)
12.
Date of Application
Date / Time
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Your registration form will be processed and Grace & Truth Critical Incident Training & Consultancies will contact you with further information.