Apply for: Therapeutic Counselling Diploma

Please check you meet all the entry requirements for this course as we will not be able to process your application if you do not. Please call 0151 551 7777 for help
All fields marked with a * must be completed before you can submit your application online.
Click on the ‘Submit Application’ button
You will receive an acknowledgement of receipt of your application via email
If you do not receive a confirmation email on submission of this form - check your spam folder or contact wmc.enquiries@wmc.ac.uk
If you experience any issues in submitting your online application, please can you take a screenshot of the section causing a problem and send it via email to marketing@wmc.ac.uk

Personal Information

Basic information about yourself

Title *

Other title

First name(s) *

Surname/Family name *

Surname at Birth *

Sex *

Date of birth *

Day

Month

Year

Ethnic Group

First Language

Do you have a disability, learning difficulty or long-term health condition? *

Do you have an Education, Health and Care Plan (EHCP)? *

Disability or Learning Difficulty *

Other Disability or Learning Difficulty

Further Details (optional)

Would you like to meet with our Learning Support team? *

Assistance required to evacuate *

How did you hear about us? *

Previous School *

Contact details

Address and phone numbers

If you are aged 16-18, please ensure you add your own mobile number, not your parent’s or guardian’s

Address line 1 *

Address line 2

Town/city *

County

Postcode *

Country of residence *

Have you been resident in the EU for the last 3 years? *

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Email *

Phone number *

Mobile phone number *

Emergency Contact Details

Emergency Contact Name *

Emergency Contact Email Address

Emergency Contact Telephone *

Emergency Contact Relationship *

Course details

Details of the course you wish to apply for

Course name

Therapeutic Counselling Diploma / Level 4 / J011

Course starting *

Qualifications

All qualifications taken or due to be taken and results target/achieved

If you don't know the exact date when the qualifications were taken or they are target grades, please use the 1st of the month, followed by the closest month and year.

Please include your target or achieved qualifications as these will be relevant for the course you are applying for. If you do not include them it may result in a delay with your application.

I don’t have any qualifications and I am not due to take any exams.

Press + to add a qualification. Don’t forget to click on the remove button to delete any unused rows before you submit your application.

Employment

Recent employment, work experience, voluntary or community work particularly if it is a requirement for the course

Current employment status *

Employment history *

Application Form