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
Address
Street Address
Street Address Line 2
City/Town
Postcode
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Name of 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: