Apply for the CICS Diploma in Clinical Sexology

To apply for the CICS Diploma in Clinical Sexology please complete the form below.

Please complete this application form in full and in detail so that we can fairly assess your suitability for this course of study. If you have any questions, please contact us.

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Application

Relevant Qualifications*Number of clinical hours/relevant counselling experience*How do you fulfil the course entry requirements? *What attracts you to the idea of working as a Clinical Sexologist? *Which aspects of Clinical Sexology are of particular interest to you?What do you expect to find difficult/challenging about the course? *Why have you applied to this particular diploma course?*How did you find out about CICS? *

Referees

Please include the details of two professional referees.Referee 1: Name*Referee 1: Job Title*Referee 1: Email Address*Referee 2: Name*Referee 2: Job Title*Referee 2: Email Address* Please let us know of any formal diagnoses you have that may affect your learning and any associated access needs. *

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Referees