Medical
This course may not be suitable for people with long-term or severe mental illness, or who have regular experience of psychotic or severe anxiety episodes, or who are dependent on illicit drugs. It is essential that you discuss any illness of this kind, or treatment you have had, with me before enrolling. I need to know about relevant medical conditions or incapacities as well, and any special requirements that these may involve. Please tell me about any psychiatric medication you are on. If in any doubt please phone me first so we can discuss if the course is for you.

Booking
Please complete the form below (if you cannot print it off, contact me and I will send you a copy) and return it to me at:

Richard Mills
Room 6, First Floor,
Oakwood House,
637 Roundhay Road,
Oakwood,
Leeds LS8 4BA

Alternatively, cut and paste the text below and email it to me.

IMPORTANT: If you are not yet sure that the course is for you please phone me for a discussion about any questions you may have. You are also welcome to meet me in Leeds if you wish. Some people come onto my courses on personal recommendation by other co-counsellors, but if I have not been recommended to you, you may be thinking : 'I wonder what this guy is like?' so you may want to phone me just for a chat about the course.

Book soon to avoid disappointment: places are limited. Act now and make it happen!

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PART 2 ENROLMENT FORM: ‘Know Yourself: The Fundamentals of Co-Counselling’
Leeds, Autumn 2008, five days
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I cannot attend the initial meeting but I definitely wish to enrol on the above course. I am clear that I will enrol as long as I can make the dates that are decided at the initial meeting. I am sending you now a deposit of £50. I understand that if the course dates decided at the initial meeting are not convenient for me I will receive a full refund and will owe no money.

NAME………………………………………………………………………………………

ADDRESS………………………………………………………………………………….

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Email address…………………………………………………………………………………..

PHONE: DAY……………………......…..EVENING………....……………………..MOBILE...............................

I understand that a minimum of 85% attendance is necessary in order to be considered ready to co-counsel in the Co-Counselling International (CCI) network and attend CCI events.
I am over the age of 20 years. I have read and accept the contract below.

Signed………………………………………………….Date……………………………..

How did you hear about this course?

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(If via a search engine, was it Yell.com? or Google? or another

one?.....................................)



Contract for ‘Know Yourself: The Fundamentals of Co-Counselling’

I (Richard Mills) undertake to offer you the following:

• A well planned and organised Foundation course that will equip you to be accepted as a co-counsellor within the Co-Counselling International (CCI) network. The syllabus will include all of the co-counselling methods and styles of working within CCI.
• A secure group situation in which you can learn to use co-counselling in both the client and counsellor role, for your personal growth
• Useful handouts to back up the training, and other relevant information
• Respectful and supportive attention
• Prior discussion if I have concerns about your readiness to be accredited as a co-counsellor within the CCI network
• Information about co-counselling groups and events, locally, nationally and internationally
• When you are accredited, a list of co-counselling contact persons in the UK who have contact details of co-counsellors in various local areas

Your accreditation (i.e. entry into CCI) at the end of the course depends on the following:

• A minimum of 85% attendance on the timetabled sessions, plus at least one practice session outside of the timetabled sessions, between the two weekends. (You will be offered assistance in arranging this as close as possible to your home location.). Any planned absence from the course must first be discussed with me.
• An understanding of and basic competence in the co-counselling method, and a willingness to adhere to this method when using co-counselling within CCI
• The ability to be respectful to others
• The ability to keep confidentiality
• The ability to hold back from expressing your own feelings, when it is your turn to give someone else attention
• A respect for others’ boundaries and needs within the group
• Spending two hours reading the written handouts before the final weekend.
  

  THERE IS NO WRITTEN TEST OR WRITTEN WORK - IT IS ALL PRACTICE. All the above points are discussed within the course.