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Reference Form
CPCAB Level 4 Diploma in Therapeutic Counselling (TC-L4 APQ)

Referee's First Name

Candidate's First Name

Referee's Last Name

Candidate's Last Name

How long have you have known the candidate and in what capacity?

What would you say the candidate’s strengths are, in relation to:

Personal qualities:

Communication skills (written):

Communication skills (verbal):

Professional conduct:

Self-awareness:

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