Psychology for Change Application Form

Personal Details

PfC is an intensive 10 week course that requires you to commit to two days a week for ten weeks with a one hour tutorial every fortnight so that you get the most out of the course.

Psychology for Change

We teach psychology in a way that helps you make sense of your past experiences and why your life has turned out like it has. What you learn also helps with your life in the present – current relationships and family dynamics for example – and the last part of the course helps you focus on your future. As such, PfC can sometimes be challenging and emotionally demanding.

We collect information on applicants to Psychology for Change to help us build a better picture of the kinds of people who come onto our course. This is then used to help us apply for funding as some funders will seek to fund people from a specific background – people who have experienced homelessness or have been long-term unemployed for example. All data we collect is anonymous when used for this purpose.

Please take a few minutes to complete the sections below. We appreciate you taking the time to provide us with such personal information.

Your experiences of drugs/alcohol
Your experiences of substance misuse treatment
Education & employment history
Mental health

Have you had any mental health issues in the last two years? For example – depression, anxiety, psychosis, suicidal thoughts. If yes:

Your home life
Criminal background
Your privacy

We will always store your personal details securely, we’ll use them to provide the service you requested, and communicate with you in the way(s) that you have agreed to. Your data may also be used for purposes of analysis, to help us provide the best service possible. For full details, see our Privacy Policy: