To apply for the CICS Diploma in Compulsive Sexual Behaviour 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.

* Asterisk indicates required fields.

Personal Information



Professional Qualifications

Please detail all relevant qualifications including: Date, Qualification, Grade and Accrediting Body.

Relevant Work Experience

Please detail all voluntary or paid work related to the field of counselling and psychotherapy, sex, sexual health and relationship support.

Include dates (from-to) and roles/responsibilities.


Personal Statement

Access Needs

Emergency Contact Details


By submitting this form, you confirm that the information on this form is correct, to the best of your knowledge and wish to submit your application.

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