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Application Form

Course Applied for
Name
First Last
Email Address*
Date of birth
MM
DD
YYYY
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Telephone Number
Mobile Number
What are you hoping to gain from the course personally and professionally?
Please details previous experience or training of counselling, psychotherapy, consultancy, or psychology?
Where did you hear about the Link Centre?
Provide details of any voluntary/community work which is relevant to the course of study. Include details of the name of any organisation you worked for, nature of work, responsibilities and duties, dates and duration. Also describe any life experience which has resulted in significant learning of relevance to this course
Additional Comments (anything else you would like us to know):
Personal and Professional References
Personal Reference (not family member)
First Last
Personal Reference Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Personal Reference Telephone
Personal Reference Email
Professional Reference Name
First Last
Professional Reference Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Professional Reference Telephone
Professional Reference Email
Please attach a copy of your CV
Accepted file types: pdf, doc, docx.
PDF and DOC files accepted.
Data usage consent*
- I consent for my information being held by The Link Centre and retained in accordance with The Link Centre GDPR policy.

The Link Centre
Sussex Rural Business Centre,
Plumpton College,
Ditchling Road,
East Sussex,
BN7 3AE

Personal and Professional References