Home Study Application Form

Application Details will be treated as confidential


Personal Details
Name:
Address:
Date of Birth:
Occupation:
Telephone:
(H) (W) (M)
Email Address:
Course Selection
Please enter the Home study course for which you are seeking admission:
 
Addiction Studies
Counselling and Psychotherapy
Eating Disorders
Parent Child Psychology
Fee Payment

The cost of each Home Study course is €495. This can be paid by cheque or postal order. The fee must be paid in advance. This covers administration, all reading/study material (there will not be a need to buy additional books) and Certification on successful completion of the course. You will receive your first study unit and two assignments within one week of application


Declaration
I certify that the information given above is correct and I enclose the course fee of

 

Contact

If you require further information
Niamh at
ATI 38 Lower
Leeson Street, Dublin 2
Tel 01 6629737
Fax: 01 6425599

Email: admin@psychology.ie

Brochure 2010

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