Counsellor in Training Shortlisting Form

Full name

Location & Postcode

Phone

Where are you currently studying?

What course are you currently studying towards?

Have you completed any previous counselling courses?

Please tick to confirm that you have obtained your Fitness to Practice to begin placement (as per requirements on previous page)

What is your counselling modality?

For remote placements - please confirm if your course requires F2F hours and if so that you have already obtained these or have a F2F placement to obtain these required hours. If you would like a face to face and online placement with us, please put N/A.

Do you have access to your own laptop/desktop/PC?

Do you have any other commitments outside of the placement which may impact your availability?

Do you have another placement or will you be looking for a secondary placement in addition to TCS?

Please state your reason for applying to Therapy Centre Services:

Are you able to commit to a minimum of 2 clients per week?

Yes

Please confirm when you would be looking to start placement (begin with clients):

Please confirm that you understand an implementation fee of £100 for remote placements and £150 for face-to-face and remote placements will be required if you are successful in securing placement with TCS