Counsellor Application Form

Thank you for your interest in working with Emotionally Healthy Minds.

Please complete the form below and submit your CV. After we receive these you will be invited to meet with us to discuss your application.

All candidates must have a clean and current Enhanced DBS certificate on the update service to commence tutoring.

Candidates will also be required to provide two references.

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Applicant details

Name

Date of Birth

Email address

Mobile phone number

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Nationality

Employment and Qualifications

Present position

Academic qualifications

Do you hold BACP accreditation?

I can confirm I am entitled to work in the UK on a self employed basis.

Do you have a current DBS on the update service?

If yes, what is your DBS number?

What is your current availability?

How many hours per week would you typically like to work for Emotionally Healthy Minds?

Why would you like to work with for Emotionally Healthy Minds?

Counselling Hours — Please give details of your counselling journey to date

Counselling Experience — Please provide details of your Practical Counselling Experience (including that of working with children and young people) to date:

Please give details of any other relevant experience/voluntary work:

References

You should provide one professional reference and one client reference where possible (if you are just starting out on your tutoring journey then two professional references are fine). Both references should speak to your professionalism, reliability, time management, ability to plan effectively, and, where possible, your subject knowledge.

Emotionally Healthy Minds is wholeheartedly committed to safeguarding children and young people. We require all of our tutors and coaches to go through extensive safeguarding training and will be recruited using safer recruitment processes.

Referee 1 name

Referee 1 address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Referee 1 email address

Referee 1 job title

Referee 1 relationship to you

Referee 2 name

Referee 2 address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Referee 2 email address

Referee 2 job title

Referee 2 relationship to you

I consent to EHM contacting my referees.

I consent to Emotionally Healthy Minds contacting my referees.

Please upload your CV (Please include your 10-year employment history)

Click or drag a file to this area to upload.

(.pdf, .docx, or .doc files only)

Comments (optional)

Thank you for your interest in tutoring for Emotionally Healthy Minds. Your application will be reviewed and we will be in touch shortly.

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