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Tavistock Relationships

Diploma in Psychosexual Therapy (T3)

October 2024 Entry
Your Details

English Proficiency 
Salesforce Info

Experience and Work 

Current Employment
Previous Employment
Please provide details of your previous work experience (including nature of your work) and dates of employment. Please include any voluntary work.
Previous Employment
Previous Employment
Previous Employment
Previous Employment
Previous Employment
Previous Employment
Previous Employment
Previous Employment

Education and Training

Other Training Information

Psychotherapy/ Counselling Practice 
Please give details of your current and previous practice. Please include number of individual, couple, relationship and psychosexual hours worked.
Previous Experience of Therapy


Referees may be contacted prior to the commencement of the course.
Reference 1

Reference 2

Personal Statement - Part 1

Please complete a personal statement in support of your application. Please tell us about your education and/or your professional development and work life so far, highlighting aspects that are relevant to your interest in this course, your interest in counselling, and any career plans which you consider relevant to your application.
Max. length 500 words

Personal Statement - Part 2 

Please tell us about you and about your life so far. When describing your formative experiences, you may wish to highlight something specific about your childhood or family history, a significant personal event, a past or present relationship. Do include your reflections on these experiences. Please add any thoughts you may have about how your life experiences link to your interest in counselling and psychotherapy.

Max. length 500 words


Any personal information provided in this application form will be used for the purpose of providing you with training services.  You can read more about how we keep your data safe in our Privacy Notice
Please contact our training department on 0207 380 1975 to proceed with your application
You can change your preferences at any time by emailing us at privacy@TavistockRelationships.org or by unsubscribing from the email.

Application Fee

There is an application fee of £50 (non-refundable) due to be paid with the submission of this application form.  

Please complete your card details and click submit to process your payment and submit your form. 
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