Affiliate Application

Mind Matters Counselling welcomes applications from experienced, accredited Counsellors and Psychotherapists (and we are particularly interested in applicants with experience in Critical Incident Response work).

Clinical Requirements

In order to be considered, therapist applicants must meet the following essential criteria:

Accredited with either the BACP, UKCP or NCS. (NB This is an essential requirement)

Experienced at working in short term therapy/interventions - Solution Focused Brief Therapy and Cognitive Behavioural Therapy experience is essential - please ensure you reference your experience of these modalities in the appropriate section of the Application Form below.

Must have professional liability insurance.

Technical Requirements

To meet our communications needs and maintain our high standard service levels to our customers, Mind Matters Counselling also requires affiliates to:.

Have access to the internet.
Have experience of working with computers and to be familiar with Microsoft Office software.
Be experienced in working on Zoom.

Should you have a question about our fee structure, please contact our Admin Team on 01213 680083 Ext 122

Please read our Privacy Link to counsellors’ privacy GDPR information on what we collect, how we use it, and your rights.
NB: On receiving the completed application form we will be in touch.

First Name*

Surname*

Business Address Number*

Business address Street Name*

Business Address Town*

Business Address County*

Business Postcode*

Business Contact Number*

Email Address*

Insurance*

PDF format only

Accredited with*

Confirm which membership body you are accredited with? BACP/UKCP/NCS Professional. Full accreditation with either BACP, UKCP or NCS (Accredited Professional Registrant) is an essential requirement

Accreditation Number*

Accreditation Expiry Date (dd/mm/yyyy format)*

Accreditation Certificate*

PDF format only

Current Supervisors Name*

Supervisors Email*

Hours of Supervision Per Month*

CV*

PDF format only

Counselling Qualification*

PDF format only

Modality*

Provide information about the theoretical approach(es) you use when working with a workplace client. (approx. 200 words)

Work with*

Individuals / Couples / Groups

Provides*

F2F / Zoom / Phone

Contracting*

What specific issues / challenges does a workplace counsellor have to consider when performing their role? How does workplace counselling differ from other types of counselling provision? (approx 250 words)

Comments

Is there any other information / experience details you would like to provide? (For example, additional languages / business experience / case management experience)

* required fields

Clients we've worked with