Application Form for Level 4 Courses

Application form for Level 4 Courses

Please be aware that once you start this application you will NOT have the option to save. You will need your electronic copy of your certificate before commencing. You will be required to pay your booking fee at completion.

Please type the course location you are applying for:

May 2025- Level 4 Child Coach (Crawley, West Sussex)

May 2025 - Level 4 Child Coach (Online, Zoom)

Full Name (for Certificate)(Required)

First Last

Preferred Name(Required)

First Last

Email(Required)

Phone(Required)

Car Registration Number (Crawley Courses)

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Personal Information

Ethnicity Gender

Emergency Contact Details:(Required)

First Last

Emergency Contact Phone Number:(Required)

Qualifications(Required)

Qualification

Year of award

Grade

Please list your qualifications below. You can add as many rows as needed

If you have a level 3 qualification, please upload a copy here (a Level 3 includes - A-Levels, NVQ Level 3, BTEC Level 3, or above which includes Level 4, foundation degree, degree and Masters)

Accepted file types: jpg, pdf, word, png, Max. file size: 50 MB.

If you do not have a Level 3 or above please complete this section:

Assessment: Please select one of the following essay titles and submit: • A 1000 word essay based on the chosen title • You should refer to at least 3 external sources • Please ensure that references are included • Please ensure your full name is included as a header or footer Essay Choices: 1. Discuss factors which have adversely affected child mental health during the pandemic and subsequent lockdown. 2. Evaluate the impact of Child and Adolescent Mental Health services on children’s outcomes and well-being. 3. Discuss three factors which influence child and adolescent mental health.

If you do not have a Level 3 - Please provide a professional reference:

Reference First Name Reference Surname

Reference Relationship to you:

Reference Email Address:

Reference Phone Number:

If you do not have a Level 3 Certificate please upload your essay here:

Accepted file types: png, jpg, pdf, word, Max. file size: 50 MB.

What interests you about working in child mental health?(Required)

What do you hope to achieve on completion of your qualification?(Required)

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