Trauma Counselling Online Application Form

Name & Surname *

Email *

Contact Number *

ID Number

Physical Address *

Very Important. Please note - This must be a physical address where someone is available during normal business/working hours to receive the learning material from our courier.

Current Occupation

Do you have any qualifications?

What do you hope to achieve by completing this workshop?

The Jalex Counselling Trauma Skills workshop is aimed at providing trauma debriefing and trauma counselling skills. It does not lead to registration as a professional counsellor. *

I agree