Form

Which CPCAB Qualifications are you applying to teach? *

Name of your tailor made qualification *

Are you applying to be a core tutor for these qualifications? *

Centre name *

Name *

First Name Last Name

Gender

Contact number *

Include your workplace and home numbers

Work email *

Line manager's name

Line manager's email address

Education and training relevant to the qualification(s) you are going to teach *

Experience of teaching/training or group facilitation showing you are able to deliver CPCAB qualifications at the level applied for *

Relevant experience of client work (agency and/or private) *

Relevant experience as a supervisor or in a supervisory role *

Relevant assessment/verification/internal quality assurance experience *

Total number of client work hours *

Number of hours of personal therapy *

Membership of counselling professional body *

Have you ever had a complaint upheld against you or a professional conduct ruling made against you? *

Please upload full details of the complaint *

Upload a File

Brief details of on-going CPD *

Referee 1 *

Please specify type of reference (professional, training, personal)

Referee 2 *

Please specify type of reference (professional, training, personal)

Are you happy to receive information on CPCAB’s qualifications, counselling videos and other services by email? *

We will never pass your email address to other parties.

By providing this information you consent to CPCAB holding these details in accordance with the GDPR legislation for the purposes of quality assurance. For more information on GDPR, we recommend visiting EUGDPR.org and ICO.org.uk websites. Your data will be held in accordance with CPCAB’s Data Protection Policy.

Tutor CV