Application: Associate Therapist

Associate Application Form

Counselling | Psychotherapy | CBT | EMDR | DBT | Couples Counselling
Please note that we are currently considering only associates who wish to hire facilities on a morning, afternoon, or evening basis.

Associate recruitment is dependent on service availability and current skill requirements. We particularly welcome applications from associates with specialist expertise in CBT, DBT, EMDR and couples therapy. As a result, responses may be delayed until associate opportunities are reviewed. If you have submitted this form, your application has been received, and you will be contacted when the review process commences, typically within three to four months. Thank you.
Therapy Lounge Collective (TLC) is a private therapy service offering services to clients and businesses in Leicester, Leicestershire, and the wider region. We provide partnering opportunities for Independent Therapists to join our team and extend our offer of services avaliable.

Our Associate Scheme includes:

- Membership of TLC community:

Use of logo on advertising, public endorsement by TLC, advertising on TLC website, FREE or reduced rate access to TLC CPD events, referral eligibility.

- Optional Use of Room Hire Facilities

Sold in blocks of three clinical hours over 3.5 hours in the practice. Blocks are offered for morning, afternoons or evenings including weekends.

- Optional Clinical Referrals

Clients will be referred either directly should you offer a specialism or the client request you from our advertising. Or, clients may be matched to you following an initial consultation with one of our practitioners.

Costs are associated with the association and are dependent upon which services you require and to what extent. Please request our pricing guide.
Date of Application

MonthDayYear
Date
Name*

First NameLast Name
Email*
example@example.com
Do you want to be added to our mailing list for CPD news?*

Yes PleaseNo Thank you
Phone Number*
Which Services/ Therapies Do You Offer

Adult individual Psychotherapy / Counselling -please specify approach in other sectionEMDRCBTDBTCouples CounsellingSystemic TherapiesNeurodiversity specialismOther specialism(s)Other
If you ticked one of the 'other' categories please expand

0/100

If you are seeking to hire room facilities, please indicate all available days and times, rather than preferred options only, as this may limit your application. Preferences may be listed separately below *

Further comments on room hire preferences. Please note that room hire is subject to availability and not guaranteed.
Do you have any health, disability or access needs that you would like us to support you with?
Qualifications, Approx. Clinical Hours Accrued, Previous life and work experience
Anything else you would like us to know? or any questions you have*

we will endeavor to answer any questions as soon as possible 0/100
Thank you for completing an application. We endeavour to contact you as soon as possible. In the meantime please follow our social media channels to keep connected and hear about the services we offer.
Should be Empty:

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
Morning 8:45 - 12:45
Afternoon 12:45 - 16:45
Evening 16:45 - 20:45

Associate Application Form