Postgraduate Course Application Form
Please fill in the application form below
1. Personal details:
I am a :
New postgraduate student
Re-enrolling postgraduate student
New and re-enrolling students, please select your postgraduate course:
Graduate Certificate in Emotion Focused Therapy
Graduate Diploma of Emotion Focused Therapy
Single Unit/ short course
Name:
*
First Name
Last Name
Student number (if re –enrolling):
Birth Date:
*
Please select a month
January
February
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Month
Please select a day
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Day
Please select a year
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Year
E-mail Address:
*
example@example.com
Mobile number:
*
Work number:
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State
Post code
Where did you hear about EFT courses
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2. Qualifications and professional experience
List all tertiary qualifications or equivalent:
Highest Level of qualification on entry:
*
Year of graduation
-
Month
-
Day
Year
Date
Current role:
Practice/organisation:
Number of sessions per week:
Counselling
Therapy
Supervision
Work address:
Please provide details of relevant counselling and/or therapy experience:
List your professional association memberships (or eligibility to join):
What are your reasons for applying for this course ?
Do you have any learning needs:
Yes
No
If yes, please provide a summary of your learning needs:
Your USI (Unique Student Identifier)
Please attach certified copies of all testamurs and transcripts for qualifications and a proof of ID (birth certificate ,passport or driver's license ).
*
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Please upload your National police check . This can be obtained from Australia post . https://auspost.com.au/police-checks
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Promotion code
Type your promotion code here
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3. Student Demographic Questions
I am a
Female
Male
Intersex
Other
Prefer to not say
Aboriginal and / or Torres Strait Islander:
Yes
No
Prefer to not say
Are you an Australian permanent Resident or Citizen
Yes
No
Country of Citizenship
Do you come from an English Speaking Background
Yes
No
If No, do you have and IELTS score of 7.0 with aminimum sub-score of 6.5 in writing, reading, speaking and listening?
Yes
No
Promotion code
Do you agree to recieve information about our courses via email and/or sms?
*
Yes
No
Declaration
*
I confirm that I have read all available information regarding Postgraduate Courses and that all information in this application form is correct.
Signature
*
Submit Form
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