Application for the Advanced Federal PET Diploma Examination for
Counsellors
Application for the oral Exam Examination parts 1-4 or part 3 after ER 9.1
ER = Examination regulations 28 June 2013
RG = Guidelines for examination regulations 2013
Date
4/5/6/7/8 September 2017
Candidate
Form of address
First name
Last name
Date of birth
Nr of AHV
Place of origin / canton /
nationality
Address (Main address)
Postal code / City /
Canton
Telephone (private)
Telephone (business)
Mobile phone
Email
Exam Language ER 3.2d
French
Italian
German
Approach to
Counselling ER 3.2c
Examination
Active member of SGfB
Observations
examination parts 1- 4
examination part 3 ER 9.1
First examination
repetition
yes, since
no
Declaration of the required qualification profile
For admission requirements, see ER art. 3.3 and RG point 3 admission requirements
Professional qualification (please, enclose copies) ER art. 3.31a
Tertiary education qualification (please, enclose copies) ER art. 3.31a
Proof of training as a counsellor, certificates, diploma, etc.
Proof of six-year practical experience with important social contacts ER art. 3.31 b / RG 3.1
 8 years without a tertiary education qualification, ER art. 3.31 after g / RG 3.1
Proof of counselling practice with an anonymous list of 15 counselling processes with a total of 80
sessions ER art. 3.31c / RG 3.3
Proof of 30 hours of client-related supervision as a trainee
(Please, enclose a table with a survey) ER art. 3.31d / RG 3.4
Proof of more than 30 hours of self-experience in counselling as a client
(Please, enclose a table with a survey) ER Art. 3.31e / RG 3.5
Proof of at least 8 sessions of intervision during a period of at least 2 years
Please, enclose a table with a survey with copies of the proofs) ER Art. 3.31f / RG 3.6
Letter of recommendation of the accredited supervisor with proof of at least 15 hours of supervision in
addition to above, during a period of at least one year ER Art. 3.31f / RG 3.7
Proof of membership SGfB ER art.9.1
Other appendices for the application
A survey of the professional training and practice until now.
(Please, enclose a table with a survey and copies of proofs, references and/or employer's certificates) ER Art. 3.2a-b
Copy of an official identification document with photo ER Art. 3.2e
Proof of payment of the registration fee
The registration fee of CHF 600.00 was paid into the SGfB account (PostFinance account 85-541507-5 /
IBAN: CH56 0900 0000 8554 1507 5) on
.
Possible appeal against prejudiced examination experts
(The appeal against possible prejudices must be motivated and is presented together with this registration ER Art. 4.14)
Confirmation
With my signature, I confirm the accuracy of the information provided.
Place/Date
Signature
___________________________________________________________________________________
Administration
All registration documents are to be sent in print (three copies) by post to the SGfB examination
secretariat. The dossier must be submitted stapled or bound (no loose sheets).
Registration office by post
Prüfungssekretariat SGfB, Gehrenweg 2, 5103 Möriken
Detailed information about single issues can be found in the examination regulations and the guidelines for the examination
regulations (www.sgfb.ch)
August 2016
2