Application Form Counsellors & Trainees Personal information Name * First Name Last Name Location * Email * Professional Qualifications What role are you applying for? * Counsellor Trainee Counsellor Counselling Qualification(s) * Institution and Date of Graduation Which recognized counselling authority are you registered with? * (e.g. BACP or local psychologist, psychotherapist or counselling authority) Do you have professional liability insurance? * Yes No Are you currently receiving professional supervision? * Yes No Experience Do you have experience working in the humanitarian sector or with humanitarians? * If yes, please provide details: Do you have experience working with burnout and related issues? * If yes, please provide details: Availability How many hours per week are you available for counselling sessions? * Additional Information Why are you interested in working with Project Root Support? * Please elaborate on your motivation for this role: What languages do you practice in? * Add your level of proficiency Any additional information you'd like to share: Reference Contact Information Please provide contact details for two professional references: * Add: Name, Organization, Relationship to you, Email, Phone Number Thank you for your application!We will get back to you shortly
