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Courses - Application Form
Print Version
Course Application Form
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Required
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Your Full Name:
Organisation Name:
(if course funded by them)
Address:
Postcode:
State:
NSW
VIC
QLD
ACT
TAS
SA
WA
NT
Country:
Phone (Home):
Phone (Work):
*
Email:
Occupation:
Professional Qualifications:
Course you are applying for:
Summer School (Core Course + Adults & Grief)
Winter School (Core Course + Adults & Grief)
Core Course - Bereavement Counselling
Working With Bereaved/Dying Adults
Working With Bereaved Children
Bereavement Support Worker's Course
Post Graduate Diploma in Bereavement Counselling
Distance Learning Program - Bereavement Counselling Diploma
Post Graduate Diploma - Counselling Bereaved Children
Certificate Of Merit
Post Graduate Diploma In Clinical Supervision
General Counselling Course
Clinical Supervision
Bereavement Support Worker's Certificate
Date of Course you wish to attend:
Previous Training in this area:
(include those completed at the B.C. Centre)
Previous Work Experience in this area where relevant:
Aims in undertaking this course:
Course Payment Online:
Yes, I will be paying for this course online (follow the link after sending this form)
Please Read the Following Important Course Information, for conditions that apply for registrations, cancellations, transfers and refunds:
All courses are from 9.30am to 4.30pm - venue to be advised.
Registrations and transfers cannot be reserved by phone.
Applications are not confirmed unless accompanied by a deposit of $330.00.
The balance of fees to be paid four (4) weeks in advance of the commencement of the course. If the course becomes full you may be required to pay the balance immediately to confirm your place.
Time does not permit us to send reminder notices for the course in which you have enrolled.
NO REFUNDS or TRANSFERS will be made later than 4 weeks before the commencement of any course.
Applications for TRANSFER to another course will only be accepted in writing. (One transfer only applies and must be undertaken within 12 months of the commencement of the original course. No refunds on transfers.)
CANCELLATION fee of $50.00 will be charged on cancellations made up to four weeks prior to course commencement. No refunds are made when cancellation occurs within four weeks of course commencement.
We reserve the right to change the above conditions, dates and fees.
GST APPLIES TO ALL GOODS AND SERVICES ON THIS SITE EXCEPT COUNSELLING
ALL PRICES ARE GST INCLUSIVE
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