Level 4 Certificate in Counselling Skills

This form is for individuals wishing to apply for a place on one of our training courses/workshops

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* Required information.

Please complete this form if you wish to apply for the Level 4 Certificate in counselling qualification starting in September 2017. We will then contact you with further details about the application process.

Contact Name *
Organisation Name (if applicable)
Correspondence address *
Contact telephone *
Contact email address *
Select the course you wish to attend *
Please state any dietary or access requirements
I have read and agree with the booking terms and conditions below and I confirm I have met the entry requirements. *
Payment Options *
Would you like to receive information on future events?
How would you like us to send your course programme and documentation?
Date of Birth (required for OCN accreditation) *
Ethnic Background (optional) Data requested by OCNWM
Any further information you wish to provide

NB. Payment can be made only after you have been succesfull at the informal interview. Once we recieve your application we will be in contact to arrange this.

About how we use your Data
All information that we hold concerning you will be held and processed by Hope CIC strictly in accordance with the provisions of the Data Protection Act 1998.
We will not, without your consent, supply your name and addresses to any [other] third parties except where (1) such transfer is a necessary part of the activities that we undertake, or (2) we are required to do so by operation of law. As an individual, you have a right under the Data Protection Act 1998 to obtain information from us, including a description of the data that we hold on you. Should you have any queries regarding this please contact Nathan Laxton, Director, email: Nathan@psychological-services.org.uk

Booking Terms and Conditions

1) The total fee for this course is £1351. Learners have the option of paying in full prior to the course commencing or by 4 staged payments. For staged payments, a first installment of £337.75  must be paid when booking (and prior to the course commencing) to secure a place. With the exception of the course being cancelled (see 5 below), this is a non-refundable deposit (this is largely due to us having significant upfront costs including venue hire). For those paying online through this website, Paypal fees are charged in addition (details can be read on payment screen prior to submitting). The remaining 3 installments of £337.75 are due by 30th November 2017, 31 January 2018 and 31 March 2018
2) Cancellation must be either received by email (to This email address is being protected from spambots. You need JavaScript enabled to view it. ) please also leave a message on 01228 558987 or by writing to Hope CIC, Harker Grange, Harker, Cumbria, CA6 4HY by the due date. Please note if you cancel within 30 days before start date, your 1st Installment is non-returnable, however, it may be possible in some instances to provide a substitution. For those who have paid the full amount within 30 days prior to the course commencing and wish to cancel, the fee will be returned less the cancellation fee of £337.75 (the same as the 1st installment/deposit).
3) We reserve the right to reschedule or to cancel the training event as necessary at short notice due to unforeseen circumstances. This may include illness, train cancellation or strike, exceptional weather conditions, numbers dropping below the minimum required and power failure.
4) If the course is cancelled you will have the option to reschedule the course at a later date, or have a full refund of any deposit paid.
5) Responsibility will not be accepted for any consequential loss arising from cancellation or curtailment of any course.
6) There may be a delay to delegates receiving their certificates until external verification of portfolios has taken place, NB a minimum of 80% of sessions must be attended and full course fee paid to receive accreditation and certificate.
7) Students should have entry level English and sufficient IT skills to produce short assignments in either Microsoft Word or Mac Pages etc. Many Students find the course highly rewarding, exciting and also emotionally challenging. Applicants should therefore be in a fairly stable emotional state when applying (e.g. those with recent bereavement/loss/relationship breakdown/trauma may find they struggle with the emotional impact of the course). Places are therefore offered on the basis of a successful informal interview.