Apply for a placement

a. I have at least 100 clinical hours to date *

Yes

No

b. I have significant experience of direct work with clients or service users that I attained prior to my course of study *

This may have been achieved in a work or a voluntary setting

Yes

No

c. I have completed my course of study and wish to gain further clinical experience in this placement *

Yes

No

We ask all trainees to see a minimum of four clients a week while on placement with us, please confirm that this is manageable for you. *

Yes

Unsure/No

Please confirm that you are available to remain in the placement seeing clients for a minimum of one year. *

Yes

Unsure/No

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of birth *

MM

DD

YYYY

When can you start seeing clients?

MM

DD

YYYY

*

We may need to discuss the answers you provide here, and/or at interview with your training organisation. We will always discuss this with you first. Please indicate if you agree that we can do this by selecting yes below. Our placement offers a transparent, supportive, and professional experience of clinical work, unfortunately, if you tick no, we are not able to progress your application at this time

Yes

No

*

From time to time we may send you information about mental health, courses, and other information you might find useful. Please select yes if you’re ok for us to add you to our mailing list, or no if you’d prefer that we didn’t.

Yes please, add me to your mailing list.

No, thank you.