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Sessional Application Form
APPLICATION FOR SELF-EMPLOYED SESSIONAL COUNSELLOR / PSYCHOTHERAPIST ROLE:
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Name:
First and last name
Your answer
Address:
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Email:
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Home Number:
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Mobile Number:
Your answer
Permission to use:
*
Yes
No
Membership Of Professional Bodies:
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Do you hold certificates:
Yes
No
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Do You Hold Insurance Cover For Your Work As A Counsellor /Psychotherapist:
Yes
No
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Total Number Of Supervised Counselling / Psychotherapy Hours To Date:
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Do You Have Experience Of Being In Personal Therapy:
Yes
No
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