Apply - PCI College

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Course(Required)

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Course Intake

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Course Intake Group

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Session Token

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Session ID

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Progression Bypass

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Application Source

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Private Invite Token

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Redirect URL

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Section 1 Additional Fields

First Choice

Second Choice

Third Choice

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Section 1 Fields

Applicant Name(Required)

Applicant Middle Name

Date of Birth(Required)

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PPS Section

PPS/NI Number(Required)

I do not have a PPS/Ni Number

I do not have a PPS/NI Number

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Gender Field Group

Gender(Required)

Gender Other(Required)

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Email

Email(Required)

Backup Email

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Mobile Phone

Mobile Phone | Country Code(Required)

Mobile Phone | Number(Required)

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Phone

Phone | Country Code(Required)

Phone | Number

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Address Section

Address(Required)

County(Required)

State(Required)

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Conditions End

Applicant Details

Applicant Name

First Name

Middle Name

Last Name

Enter your name as it appears on your passport

Date of Birth

Day

Month

Year

Gender

Select an option

Enter your gender

PPS / NI Number

Primary E-Mail

Backup E-Mail

Mobile Phone

Country

Mobile Number

Phone

Country

Number

Address

Street

Address Line 2

City / Town

County

County / State

Country

Eircode / Postcode

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Ethnicity

Country of Origin(Required)

Country of Origin – Other(Required)

Ethnicity(Required)

Ethnicity – Other(Required)

Country of Origin

Specify Country of Origin

Ethnicity

Specify Ethnicity

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Physical, Mental Health Conditions or Disability

Disabilities(Required)

Yes

Disability Info(Required)

Disability Assessment Status(Required)

Yes

Prefer not to Say

Disability Support

Disabilities & Mental Health

Do you have any long-term physical or mental health condition or disability?

Specify the nature of your condition or disability.

Has an assessment of your disability or condition been provided by a medical professional or relevant authority?

Do you require any support or accommodations to participate in your course or studies?

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Criminal Offence Section

Criminal Offence(Required)

Yes

Criminal Offence Details(Required)

Criminal Record/Offences

Have you been convicted of a criminal offence?

Please provide details of the offence(s)

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Course Location Preferences

First Preference(Required)

Second Preference(Required)

Third Preference(Required)

Please select your top 3 time & venue preferences for the upcoming course. Please do not select an option more than once and ensure your selections are in order of preference. Please Note that we operate on a first come, first served basis.

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Bursary Section

First Preference(Required)

Second Preference(Required)

Third Preference(Required)

Have you completed a primary undergraduate degree (in any field)?(Required)

Have you successfully completed the Certificate in Counselling & Psychotherapy (or similar)?(Required)

Are you applying based on life experience?(Required)

Course Preferences

Please select your top 3 preferences
Ensure your selections are in order of preference
Please do not select an option more than once

Based on your response, you do not meet the eligibility requirements for this Scholarship.
Applicants must not have completed a primary undergraduate degree and must have successfully completed the Certificate in Counselling & Psychotherapy (or similar) or must be applying based on life experience.
Because you do not meet one or more of these criteria, you are not eligible to proceed with the application.

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Not Eligible For Application Message

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Sections End

Course

Course: Taming the Anxious Mind with CBT Tools

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PPS Section

Gender Field Group

Email

Mobile Phone

Phone

Address Section

Conditions End

Applicant Details

Ethnicity

Physical, Mental Health Conditions or Disability

Criminal Offence Section

Course Location Preferences

Bursary Section

Course Preferences

Not Eligible For Application Message

Sections End

Contact Details

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NI

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Resources

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PPS Section

Gender Field Group

Email

Mobile Phone

Phone

Address Section

Conditions End

Applicant Details

Ethnicity

Physical, Mental Health Conditions or Disability

Criminal Offence Section

Course Location Preferences

Bursary Section

Course Preferences

Not Eligible For Application Message

Sections End

Contact Details

ROI

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