Holistic Counselling Part 1 Course Registration Form (January 2025)

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1. Name of Course (Required.)

Holistic Counselling Part 1

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2. Scheduled Start Date of Course (Month & Year) (Required.)

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3. Contact Information (Required.)

Name *

Address *

Address 2

Country

Email Address *

Phone Number(s) *

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4. Gender (Required.)

Male

Female

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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

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6. Field of Employment

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7. Church/Organisation

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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

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9. How did you hear about this course? (Required.)

Church/Pastor

Relative/Friend

Email Marketing

Nation Newspaper

Radio

Other (please specify)

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10. What do you expect to gain from this course? (Required.)

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11. How do you plan to use the knowledge gained? (Required.)

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12. Date of Application

Date / Time

Date

Your registration form will be processed and Grace & Truth Critical Incident Training & Consultancies will contact you with further information.

Holistic Counselling Part 1 Course Registration Form (January 2025)

Question Title

* 1. Name of Course (Required.)

Question Title

* 2. Scheduled Start Date of Course (Month & Year) (Required.)

Question Title

* 3. Contact Information (Required.)

Question Title

* 4. Gender (Required.)

Question Title

* 5. Age Range (Required.)

Question Title

* 6. Field of Employment

Question Title

* 7. Church/Organisation

Question Title

* 8. Kindly indicate which admission requirements have been met (select at least one) (Required.)

Question Title

* 9. How did you hear about this course? (Required.)

Question Title

* 10. What do you expect to gain from this course? (Required.)

Question Title

* 11. How do you plan to use the knowledge gained? (Required.)

Question Title

* 12. Date of Application

1. Name of Course (Required.)

2. Scheduled Start Date of Course (Month & Year) (Required.)

3. Contact Information (Required.)

4. Gender (Required.)

5. Age Range (Required.)

6. Field of Employment

7. Church/Organisation

8. Kindly indicate which admission requirements have been met (select at least one) (Required.)

9. How did you hear about this course? (Required.)

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