Order Number

STUDENT DETAILS

Email address *

First & Last Name *

Home Address *

Telephone Number

Mobile Phone Number: *

Current Occupation

Medication

Please note the type of medication does not restrict students from participating in the course, it allows the Course Coordinator to be aware of any medical conditions, as part of our duty of care, so that we can ensure the maximum benefits to the students.

Are You On Medication? *

Yes

Training Details

We are passionate about mentoring students to create new career pathways

Have you undertaken any other special training? *

Yes

We'd like to learn more about you!

What inspired you? What are you passionate about? What is your vision? We want to know.

What inspired you to enrol in the Certificate course? *

What results would you like to see out of the course? *

What changes would you like to see in your life? What would you like to be doing that you are currently not doing? This helps set your intention, the rest does itself. (Please see the Goal setting exercise to elaborate on these personal goals prior to the course)

Please outline your personal and professional reasons for choosing to do the Certificate in Holistic Counselling course *

Student Support

Often students are returning to study, or feel as though they need a little support finding their feet, their way around technology etc. What support do you envision you might need?

What support would you like in order to achieve your goals as a counsellor or using this work in the community?

TERMS & CONDITIONS

Please Read Carefully, These Terms Are Legally Binding! You must agree to all terms.

In regards to course withdrawls, I understand that: *

Withdrawals from the course are to follow The Awakening Group withdrawal procedure outlined in the course manual and handbook, if not students will not be entitled to a refund.

Students enrolment in the course indicates a full commitment by the student to attend the entire course.

In regards to course refunds, I understand that: *

TAG does not normally give refunds if I simply change my mind or make a wrong selection on commencement of the course.

I may apply to defer my enrolment for no longer than 6 months, under various circumstances and in consultation with the Course Principal.

Refunds may be made, less fees, within 48 hours prior to the course commencement, if received in writing within this timeframe

Dispute procedures are to be adhered to throughout the enrolment period of the course.

In regards to the Code of Conduct, I understand that: *

This is professional training and as such students are required to make all efforts to conduct themselves in a professional manner during their training both inside and outside the College when dealing with other students, clients/case studies, and other professional bodies.

I must not practice outside of the constraints of the course, in the name of TAG unless sort written permission for prior from the Course Principal.

I represent TAG throughout the course, and is requested I adhere to the code of ethics and conduct in all their practice and interactions.

In regards to confidentiality, I understand that: *

Confidentiality of all course participants is requested and must be adhered to at all times. Students beaching confidentiality will be mentored accordingly.

Students details remain confidential unless it is feared they are in danger to themselves or to others. In this case only the necessary information maybe disclosed to the appropriate agency.

Student details will not be passed on in anyway to any other person or party outside of The Awakening Group without the expressed permission from the students

In regards to attendance, I understand that: *

TAG reserves the right to decline from offering a student a place in the upcoming Counsellor Training program, and will advise of recommended procedure prior to re-enrolling.

It is the responsibility of the student to disclose any condition that maybe aggravated by participation in Counsellor Training prior to training commencement.

If a medical condition arises making it impossible for the student to participate further in the training the student can apply to The Awakening Group for a deferral.

A student may terminate this contract for medical reasons, and must provide a medical certificate with written notification of withdrawal. All withdrawal procedures must be adhered to

I HAVE READ & AGREE TO ALL OF THE ABOVE TERMS & CONDITIONS. *

YES

Signature (Placing your name here is equal to your signature & is legally binding.) *

Date of Signature *

Contact Us

The Awakening Group Pty Ltd:
ACN: 143 303 977 ATF Sutherland Family Trust trading as The Awakening Group.
ABN: 89799117805 Queensland (Head Office) :
P.O. Box 235 Noosa QLD 4567
T: 07 5471 1205
F: 07 5471 1206
M: 041 1516185
E: info@awakening.com.au
W: www.awakening.com.au

Certificate Enrolment Form

Certificate Enrolment Form 2018