Application form for Counselling Trainee Placement
Please fill in the form accurately to helps us sort out appointments for you
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City/Town
Postcode
Postal / Zip Code
Email
example@example.com
Name of Institution
Write the name of your institution
Have you passed your "Readiness for Practice Panel"?
Why do you want to do your placement with us?
As a trainee counsellor in our organization, you will be required to volunteer on one of the administrative aspects of the work. Please tick which area you may be interested in below:
Admin (emails, paperwork, filing, printing forms, etc)
Fundraising (Making funding Application on behalf of the CIO)
Publicity (adversitsing our services & attending fairs)
Intakes
Message
Submit
Should be Empty: