Training Application Form

Step 1 of 7

14%

Consent to Process Personal Data(Required)

APSSI (Africa Psychosocial Support Institute) collects and stores personal information from applicants, including first name, last name, date of birth, country, email and phone number. The information you provide will be used by APSSI to:
1. process requests for information quickly;
2. monitor study progress;
3. communicate information on student accounts, performance status and other necessary issues;
4. continuously improve quality and accessibility of APSSI programmes, through conducting survey and similar types of statistical research.

By applying to enrol in an APSSI Training, you consent to share the personal information that APSSI requires in order to achieve its purpose. For more information about APSSI's Privacy Policy, please contact APSSI directly admin.africaPSSInstitute@apssi.org

I agree to the privacy policy.

What is your email address?(Required)

What is your country of Residence?(Required)

Name(Required)

First Last

Date of Birth(Required)

Month

Day

Year

Gender(Required)

Male

Female

Non-binary

Prefer Not to Answer

Other

Marital Status(Required)

Single

Married

Divorced

Widowed

Separated

Co-habiting

Prefer not to answer

Citizenship(Required)

What is your Mobile Number?(Required)

Alternative Number

What is the highest level of education you have completed?(Required)

I did not complete primary school

I completed primary school

I started secondary school but did not complete it

I completed secondary school

I have completed technical courses

I have completed a tertiary certificate/diploma

I have a university degree or higher

Other

Are you afilliated with an organisation?

Yes

If yes, Which category would this organisation fall into?(Required)

Social Services

Health

Education

Other

Which job category best describes what you do?(Required)

Community care-giver

Child-minder

Home-based care worker

Social worker

Community Health Worker/Community Nurse

Teacher

ECD Teacher

NGO/CBO/FBO field officer

Child counsellor

VCT counsellor

Police

Other

Name of organisation you are working for/with?(Required)

Are you paid for your work or are you a volunteer?(Required)

Paid

Volunteer

Nearest City?(Required)

Please select which APSSI Training you are interested in participating in:(Required)

Certificate in Community-based Psychosocial Support (CBPSS)

Teacher's Diploma in Psychosocial Support

Hero Book Training

Multiple Intelligences

Other

Training Code as per Advertisement if applicable

I have paid the non-refundable application fee application fee using my name as a reference(Required)

Yes

Specify Amount Paid(Required)

Name of Supervisor(Required)

Supervisor Contact Number(Required)

Supervisor Email Address(Required)

I confirm that my supervisor is aware that I am applying to be on the Community-based Psychosocial Support Programme. He/she understands that this is a supported distance learning course and that much of the learning will take place while I am continuing to work. However, he/she is also aware that there are designated meeting days every week which I will have to attend. If I am accepted into this course my supervisor will support me in this endeavour.(Required)

Yes

I confirm that I have a device and access to internet connectivity which is a requirement for completing the Training(Required)

Yes

I am aware that some of the contact sessions may be a significant distance from my home and I am willing and able to ensure that I attend those sessions(Required)

Yes

I am aware that there are tuition fees for this Programme and I am able to pay(Required)

Yes

The course will require you to design a project with children or youth in your community or the organisation you work with. The Service Learning Project will assess your capacity to implement the skills and knowledge you acquire during the course. Describe the type of project you think you will be interested in implementing and what kind of skills, knowledge and support you would need to acquire in order to implement it effectively.(Required)

TRAINING APPLICATION FORM

Login

Register