Questionnaire
This questionnaire will only be used to assess whether you can be admitted to the training programme. The data will be processed by ACC staff and will be shared with your teacher.Fields with a * are required.
Payment preference
NB: voor de opleiding Verslaving en Recovery Counsellor geldt dat er in 6 maandelijkse termijnen wordt gefactureerd (drie termijnen voor aanvang van jaar 1 en drie termijnen voor aanvang van jaar 2).
UWV or city council
Payment by UWV or city council
This option is only possible if there is already an official application procedure at the UWV or city council for following this training programme.
Please continue to fill in this questionnaire
We will assess whether you can be admitted to the training programme. You will receive a notification about this via email. The UWV or the city council will request a quotation from us, which we will share directly with them. Once the quotation has been approved, we will finalise your registration for the programme.
You can already start with completing the questionnaire below. We can then pre-assess whether you are eligible for joining the training programme. However, please be aware that we can only enroll you once the UWV or the city council has approved your participation. Therefore, please make sure to obtain approval from the UWV or the council as soon as possible.
Employer / other party
Please fill in the details below to receive a quote.
Payment employer / other party
If your employer / another party pays the invoice, we kindly ask you to fill in the information below.
Please continue with the questionnaire
We will assess a.s.a.p. whether you can be admitted to the programme. As soon as this is established with a positive result, we will issue the quotation as requested. You will be notified of the result by email. After the quotation has been approved by your employer / the other party, we will officially register you for the training programme. Please note: in the meantime we will not reserve a place in the training programme, so it is very important that the quotation process can be completed as soon as possible.
The remaining part will be invoiced to you. The information below under Personal information will be used for billing purposes.
Personal information
Motivation & Other information
What is your highest level of education?
What is your highest level of education?
E.g. training in the field of personal development, therapy/coaching, spiritual development etc.
E.g. training in the field of personal development, therapy/coaching, spiritual development etc.
To be able to be a good coach/counsellor it is important to know yourself and your patterns, and to have worked on them.
To be able to be a good coach/counsellor it is important to know yourself and your patterns, and to have worked on them.
E.g. mental or physical issues, addictions etc.*
E.g. mental or physical issues, addictions etc.*
For participants who have been addicted themselves and want to apply their personal experience in a professional setting, it is important that they are clean before they start with the programme. If this is the case, a conversation with the teacher might take place, to assess whether the applicant has sufficiently recovered to participate in the training programme.
Intake interview
Working with addiction-related issues requires certain competencies, motivation, and a particular mindset from you as a coach. To determine whether the programme is a good fit for you, all prospective students take part in a 45-minute intake interview with the teacher. Once you have completed the questionnaire, the teacher will contact you to schedule a (video) call. Based on the information provided in your registration, the interview will explore whether you meet the requirements to participate effectively in the programme, and whether you are personally, developmentally, and intellectually ready to support clients in the future.E.g. available time and space, family issues, illness, pregnancy, etc.
* Note: You are not obliged to share any medical details with us. By submitting this form you state that you have no severe psychological problems, and/or are not receiving psychiatric treatment at this time, as we consider this to be grounds for exclusion from admission. The training programme is not meant as therapy, but to help you become a coach/counsellor. For this reason, we apply a strict assessment for admission to our training courses, as certain psychological problems may impede your own learning process (as well as that of your fellow students). If in doubt, we will always contact you first to discuss this further.
Last but not least
