Name

Contact Telephone

Email

Date of Birth

Nationality

What relevant counselling qualifications do you have? N.B. Minimum entry requirement of 450 practice hours (can include placement hours)

Please give details of how long you have been a qualified counsellor. What modality of counselling are you qualified in and how are you currently practising?

What is your understanding of therapeutic supervision? Do you have any experience of carrying out supervision work? What qualities do you have that might be useful with regard to becoming a supervisor?

Is there any other relevant information you think might be important for us to know in order to support your learning?

I consent to Cara Counselling Training storing and using my information to get back in touch with me. (YES or No)