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Placement Application

Name *

Preferred Pronouns *

Telephone *

Email *

Date of Birth *

Address *

Qualifications

Qualifying course name

Name of training provider *

Name of course accreditation body

Total number of client hours completed to date *

What is the total client hours requirement by your course provider *

Further Information

Are you engaging in personal counselling?

Yes

Have you organised private supervision?

Yes

5 days of specialised training is provided. A certificate is provided for your CPD records. This is at a small cost of £100 and is instead of requesting a minimum placement time length or minimum client load. Please confirm you agree. *

Enter your current DBS number and issue date to be validated

Where else have you got a placement? *

When would you ideally like to begin your client work?

Why would you like a placement at Ratcliffe & Brown CIC? *

What can you bring to our team? * Please help us to understand why we should offer you a placement and how your values fit our organisation's goals.

Demonstrate your understanding of self-reflective practice * How do you intend to use this tool to work ethically with clients?

Which of our three organisational goals do you identify with most and why *

Ratcliffe & Brown CIC provide counselling retreats each year for further development. Would you like to hear more about this in your interview *

Yes

Ratcliffe & Brown CIC | ASIST Trained Crisis Support | Social Prescribing UK | Counselling Placement Provider

Apply

Apply

Placement Application

Qualifications

Further Information

Quick Links

Contact Us

Ratcliffe & Brown CIC | ASIST Trained Crisis Support | Social Prescribing UK | Counselling Placement Provider

Apply

Apply

Placement Application

Qualifications

Further Information

Quick Links

Contact Us

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