NHS Placement Application

You will be required to upload proof of your ‘Readiness to practice’ and official Counselling Membership at the next step.
Please return to this application should you not have these ready to submit at this time.

Title*

First Name*

Last Name*

Address*

Postcode*

Mobile No.*

Email*

Nationality*

Gender*

Date of Birth*

Disability*

Yes

No

Do you have any Neurodiversity or Additional Learning needs?

Yes

No

Please specify*

Native Language*

Other Languages you can conduct sessions in*

Do you hold an Enhanced Adult/Child DBS?*

Which placement are you applying for?*

Level of experience to date*

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I wish to start placement*

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You will be required to submit relevant paperwork and attend training. Please reapply at a later time if you are not ready to start within 2 months.

Do you have any holidays booked in the next 3 months*

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First Holiday Start*

First Holiday End*

Second Holiday Start

Second Holiday End

TAC requests a minimum commitment of 18-24 months to placement. We offer both face-to-face and remote work. Please confirm you can commit fully to the placement and that you are able to work confidentially and professionally from a permanent UK base.

Please reapply when you are able to make the required commitment to the placement

PLEASE LIST CURRENT COURSE DETAILS, OR THE COURSE DETAILS OF WHERE YOU QUALIFIED

Name of Training Institute/College*

Course Being Studied*

End Date of Qualification*

Tutor Name*

Tutor Contact Email*

Please confirm you have received ‘readiness to practice’ written approval from your course, have a minimum of 40 x supervised clinical hours experience, and are able to see 3 or 4 clients weekly*

Yes

No

Readiness to Practice Document*

Max. file size: 128 MB.

This approval is required for TAC placement application.

English Communication & Written Skills*

IT Skills*

Have you completed mandatory training to work remotely and able to provide evidence?

External supervison is required. Please confirm*

Hours of Personal Therapy?*

Professional Membership - Please note this is a requirement.

Professional Membership Body*

For student members, we accept AHPP, BACP, BPC, BPS, COSRT, EATA, FDAP, HCPC, NCPS, UCPA, UKATA, and UKCP on application.

Membership*

Student Member

Registered Member

Accredited Member

Please upload proof of membership/accreditation

Membership Document*

Max. file size: 128 MB.

Level 2 or 3 is required for TAC placement application. *

Please provide a personal statement demonstrating your skills both clinically and administratively and any other information you feel would be useful for us to know in considering your placement application. Please tell us why you are interested in undertaking a placement at The Awareness Centre. Please include within your personal summary the details related to your clinical experience within an organisation/agency.

Personal Statement*

Where did you hear about The Awareness Centre?*

DECLARATION

We have recently updated our Data Protection Policy with regards to information being held on The Awareness Centre database.

By submitting this application you agree to your information being held on our systems.

I declare the information given in this application is accurate and true.

Signature*

This is a digital signature - by typing your name here and submitting this form you are agreeing to the terms and conditions above

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COUNSELLING PLACEMENT

TAC TRAINING SCHOOL

TAC Clapham

TAC Tooting

Michaela McCarthy’s Practice

The Awareness Centre

TAC Training School