STUDENT Membership Application Form

Student Membership Application Form

Please Note:

If you are a practicing counsellor who has recognised qualifications as a counsellor and who accepts payment of any kind for a service as a counsellor

(this does not include volunteer non-paid work): please apply for a Full Membership.

Title

First Name

Last Name

Date of Birth

Address Line 1

Address Line 2

City

State

Post Code

Country

Phone/Mobile

Course Studying

Institute

Start Date

Expected Finish

CV runs its membership on the financial year, from July through to June and send out renewal notices early June.

Please select the Payment option you will be making below before proceeding to Payment Section (contact us on contact@consellorsvictoria.com if you have any queries)

Student Pro - Rata Rates

1st July to 30th June

1st October to 30th June

1st January to 30th June

1st April to 30th June

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Counsellors Victoria

Student Membership Application Form

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