KLE LAW COLLEGE, BENGALURU
Application Form for the position of Mental Health Counsellor
Personal Details
Name
*
First Name
Last Name
Post Applied For
*
Please Select
Placement Officer
Gender
*
Male
Female
Third Gender
Date of Birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address for correspondence
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have work experience?
*
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Education
Highest Qualification
*
Do you have prior experience as a Mental Health Counselor?
*
Yes
No
If yes, kindly explain the details of the same:
*
Do you have a PhD?
*
Yes
No
Pursuing
If yes/pursuing, kindly provide the details for the same:
*
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Class 10th
Year of Completion
*
School
*
Board
*
Percentage
*
Class 12th/ Pre-university
Year of completion
*
Board
*
Institution
*
Percentage
*
Undergraduate Degree
Course
*
Year of Completion
*
College
*
University
*
CGPA/ Percentage
*
Post Graduate Degree
Course
*
Specialization
*
Year of Completion
*
College/ University
*
CGPA/ Percentage
*
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Any other information relevant to the position applied for:
*
Upload your CV with a photograph
*
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