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Home Study Application Form

Application Details will be treated as confidential

Personal Details

Name:

Address:

Date of Birth:

Occupation:

Telephone:

(H)

(W)

(M)

Email Address:

Course Selection

Please enter the Home study course for which you are seeking admission:

	Addiction Studies
	Counselling and Psychotherapy
	Eating Disorders
	Parent Child Psychology

Fee Payment

The cost of each Home Study course is €595. This can be paid by cheque or postal order or you can pay by credit card by clicking the secure link below. The fee must be paid in advance. This covers administration, all reading/study material (there will not be a need to buy additional books) and Certification on successful completion of the course. You will receive your first study unit and two assignments within one week of application

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Home Study Application Form

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