The Surrey College of Clinical Hypnotherapy and Psychotherapy

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Apply for course

Name:  
Address:  
Date of birth (DD/MM/YYYY):  
Current occupation:  
Email:  
Phone:  
Relevant qualifications  
Have you had or do you have any serious illnesses (please include mental or emotional disorders). If so please give brief details:  
Have you ever been convicted of a criminal offence or have a charge pending? If so please give brief details  

References


Due to the nature of the skills taught on these courses it is a requirement of the governing bodies that we ensure your suitability to train and work with the general public as a therapist; please indicate which of the following options you prefer:

  I will attend an interview of approximately 30 minutes, appointment to be arranged after the SCCP receives this completed form.
  I have provided the details of two non-family members who may be contacted for a personal reference.

Reference 1

Name:  
Address:  
Telephone:  
Occupation:  

Reference 2

Name:  
Address:  
Telephone:  
Occupation:  

     
     

Course Fees

  • The course fees are detailed in the Certificate Course booking form (below);
  • Deposits will only be refunded if the applicant is not accepted or the course is cancelled. A deposit is required to secure the students place on the course with the outstanding balance for the Certificate Course*, and/or first term fee for the Diploma Course**;
  • Course fees to be paid in full, three weeks prior to course commencement;
  • All fees should be paid by cheque and made payable to ‘SCCP’.
  • The Course booking form (below) must be completed.
  • If applying to begin the Diploma Course, the separate Diploma Course booking form must also be completed.

Please ensure that you have completed all of the relevant sections of this form and post to:
The Surrey College of Clinical Hypnotherapy and Psychotherapy.
Singleton Lodge, 83 Woodlands Avenue, West Byfleet Surrey, KT14 6AP.

Alternatively please email to: info@sccp.org.uk
On receiving your application you will be contacted by phone if possible, to discuss your references or a suitable time for an interview.
The SCCP operates an equal opportunities policy and endeavours to work with employees, students and those in association with the SCCP, without prejudice.