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Counsellor Registration

Please complete the following form and press submit at the end or if you have any queries please contact us.

Name and Surname

Nick Name

Identity Nr

Home Language
AfrikaansEnglishTswanaZuluXhosaSothoVendaSwatiTsongaNdebele

Address

City

Suburb

Code

Tell us more about you

in about 250 words tell us more about you, your passion, areas of expertise, counselling style and approach. This will also be used for your bio to be displayed to prospective clients.


Your Profile

Education

Registration No

References

please attach and upload resume here

Resume

Areas of Expertise
AnxietyAlcohol/Substance abuseAnger ManagementDepressionDivorceFamilyGender & SexualityGrief & LossHIV/AidsLife coachingMarriage and relationshipParentingPhobiasPost-traumatic stressStress managementWorkplace issuesOther


Questionnaire

Why are you interested in providing services online?

Time available

Operating system

Computer Essentials

Supervision

Emails

Reference

File Uploads

Identity Document

Registration Certificate

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