Online Application: Foundation Course in Counselling & Psychotherapy

                         Fully complete and submit the form below. Please give detailed answers

        Contact Information

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        Reasons for wanting to pursue this course:

        Personal strengths & areas needing more work on:

        Anything else you wish us to know about you?

I have read the course information at http://www.galwaycounselling.com/foundation.html (Yes/No)