Registration

 

CCSA Banking Details Confirmation Letter (PDF)

Please fill in the form below

Alternatively, click here to download the registration form to complete offline.

Personal Information:

  

Telephone Numbers:

Address:

Category applied for (please select one):

Compulsory Assessment Fee - R140.00
This assessment fee MUST be paid in addition to the following registration fees.

Current members should scan in their membership certificate instead of a proof of payment of the evaluation fee.

If you are sure of your category, please select it below. Otherwise, our office will communicate to you your relevant category once the compulsory assessment is complete.

# Category Requirements Cost  
1 Specialist Counsellor Masters / PhD Degree R 840.00 annually
2 Counsellor B / Honours Degree R 780.00 annually
3 Institutional Counsellor Certificate / Diploma R 690.00 annually
3.1 Institutional Crisis Support Certificate R 690.00 annually
3.2 Institutional Trauma Support Certificate R 690.00 annually
3.3 TIR Facilitator Certificate R 650.00 annually
4 Counsellor in Training In Training R 650.00 annually
5 Practice assistant In Training R 360.00 annually
Assessment Fee COMPULSORY R 140.00  

Relevant Documents:

Certified copy of ID / Passport *
Proof of residence *
Transcript *
Curriculum Vitae *
Testimonials

Qualifications

Please attach certified copies with each qualification.

Qualifications
 Year From
 Year To
 University / Institution
 Certified Document
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Training

Please indicate other relevant training and attach separate pages if needed.

Course
 Date
 Presented by
 Applicable Document
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Experience

Please indicate other relevant experience and attach separate pages if needed.

Experience
 Time From
 Time To
 Institution
 Applicable Document
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Professional Registration

Please indicate other relevant registrations and attach separate pages if needed.

Name of institute
 Date From
 Date To
 Applicable Document
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Offenses (Suspensions)

Suspensions from institutions

Institute
 Reason
 Date
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Offenses (Criminal)

Description
 Sentence
 Date
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