Professional Development Workshops 2019

IEFT Higher Education Courses 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:

IEFT Bridging Course Graduate Certificate in Emotionally Focused Counselling Graduate Diploma of Emotionally Focused Therapy
Name: *

First Name Last Name
Student number (if re –enrolling):
Birth Date: *

Month Day Year
E-mail Address: *
Mobile number: *
Work number:

Area Code Phone Number

Address *

2. Qualifications and professional experience
List all tertiary qualifications or equivalent:
Highest Level of qualification on entry: *
Year of graduation: *
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:
Attach certified copies of all testamurs and transcripts for qualifications outlined above.

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If you intend to apply for Credit Transfer or Recognition of Prior Learning, please download the application form here.

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2. Qualifications and professional experience