An offer of a place will be made upon receipt of all documents, placement confirmation and successful screening by the Training Department. Whilst a Centre may offer a placement, the Training Department will determine the appropriate level of entry for a student. Entry criteria can be found on the website: Please complete the form, ensuring that all information is complete and accurate. All information will be held securely and in compliance with the Data Protection Act (1998) and will be used by Relate for registering students and practitioners and for internal research purposes. It will only be shared with these people/institutions: Relate Centres If you work for a Relate Centre your information will be shared with your Centre Manager Relate Scheme Managers If you are a Relate Licensed Counsellor (RLC) your information will be shared with your Scheme Manager Information may be shared with Relate National for administrative, workforce development and research Relate National purposes For initial registration of practitioners if Relate applies Professional Standards Authority for Health and Social for accreditation under the accredited Voluntary Registers scheme Care If it is identified, you require additional professional development support Senior Practice Consultants For student registration CPCAB/COSRT or relevant accrediting bodies I agree to Relate Limited holding the information supplied in these application forms and to sharing this information with the above stake holders if necessary Please print full name Date Signature Personal details Title First name(s) Last name (including previous last names) Home address Postcode
An offer of a place will be made upon receipt of all documents, placement confirmation and successful screening by the Training Department. Whilst a Centre may offer a placement, the Training Department will determine the appropriate level of entry for a student. Entry criteria can be found on the website: Please complete the form, ensuring that all information is complete and accurate. All information will be held securely and in compliance with the Data Protection Act (1998) and will be used by Relate for registering students and practitioners and for internal research purposes. It will only be shared with these people/institutions: Relate Centres Relate Scheme Managers Relate National Professional Standards Authority for Health and Social Care Senior Practice Consultants CPCAB/COSRT or relevant accrediting bodies If you work for a Relate Centre your information will be shared with your Centre Manager If you are a Relate Licensed Counsellor (RLC) your information will be shared with your Scheme Manager Information may be shared with Relate National for administrative, workforce development and research purposes For initial registration of practitioners if Relate applies for accreditation under the accredited Voluntary Registers scheme If it is identified, you require additional professional development support For student registration I agree to Relate Limited holding the information supplied in these application forms and to sharing this information with the above stake holders if necessary Please print full name Date Signature Personal details Title First name(s) Last name (including previous last names) Home address Postcode
application_form_nov_17_0.docx