Counsellor Application Enquiry Form

Application form

2025
We welcome enquiries from both qualified and trainee counsellors who are interested in joining Heart to Heart Bristol Ltd.Please complete the form below, and we will get back to you shortly.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.

Application Type
Are you applying as a:*

Qualified CounsellorTrainee Counsellor
If you are a trainee, please note:
We require students to be officially released for placement at the time of applying.
Availability

Please note: Trainee counsellors are required to commit to seeing 4 clients per week, at the same day/time each week. We also ask for a minimum of a year’s commitment from all students.
Days/Times Available*

MondayTuesdayWednesdayThursdayFriday
Monday
Tuesday
Wednesday
Thursday
Friday
Preferred Start Date*

MonthDayYear
Date

Additional Information

Do you require any additional support or adjustments during the recruitment process?
If yes, please let us know how we can best accommodate your needs

Declaration

By submitting this form, you confirm that the information provided is accurate to the best of your knowledge.
Signature*

Clear
Date*

DayMonthYear
Date
Should be Empty:

Application form