To apply for the CICS Foundation Certificate in Counselling Skills and Practice 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




Please list all qualifications gained since age 18 including: Date, Qualification, Subject and Grade.

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.


Group Dynamics

Personal Statement

Access Needs

Criminal Convictions

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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