Sessional Application 2018

Colin Community Counselling Ltd, Colin Family Centre, Pembroke Loop Road

DunmurryBT17 OPH

SIGNED COPIES MUST BE RETURNED IN FULLY PAID ENVELOPE TO ABOVE ADDRESS OR EMAILED TO

Post / Sessional Counsellor
Closing Date / 5/3/18
Surname
Forename
Address
Telephone
Email
Are you eligible to work in the UK? / Yes / No
Do you have the following:
Accreditation with professional body? / Yes / No
Accreditation with BACP? / Yes / No
Dip(HE)/Foundation Degree in Counselling ? / Yes / No
CBT Diploma Level 5? / Yes / No
Have you attended ASIST/MHFA in last 3 years? / Yes / No
Experience is the use of CORENET outcome measures? / Yes / No
Three years of experience of working in a formal setting as a counsellor? / Yes / No
Experience of working in a community setting in an area of TSN? / Yes / No
Experience in abuse/loss/suicide awareness/trauma/alcohol and drugs related issues? / Yes / No
Ability to be flexible Re: working hours? / Yes / No
Access to a car to meet the needs of the post? / Yes / No
Personal Professional Indemnity Insurance? / Yes / No
Only Accredited counsellors may apply. Please insert your professional body and accreditation number:
Degree / Diploma / Professional Qualification / Institute / Qualification obtained

Training

Please list relevant Counselling Training

Continue on a separate sheet if necessary

Qualification gained / Year Gained / Examining Body

Colin Community Counselling is Registered as a Company Limited by Guarantee in Northern Ireland NI 602033 and is recognised as a Charity for Tax Purposes with the Inland Revenue. Page 1

Sessional Application 2018

Work Experience

Please use the space below to demonstrate how you meet the Experience and Skills Criteria 1-6 detailed on the Person Specification.

Please list previous positions held with brief outline of duties, most recent first:

Position / Dates of Employment / Employer / Duties ( to include evidence of experience detailed in Person Specification Criteria 1-6) / Number of clinically supervised hours.

Please detail any additional information that demonstrates how you meet the person specification in relation to criteria 7-11, (no more than 250 words).

References: Please provide the names and addresses of your most recent Employer and most recent Clinical Supervisor.

MOST RECENT EMPLOYER:
Name ______
Address ______
______
Tel No ______email ______
CLINICAL SUPERVISOR:
Name ______
Address ______
______
Tel No ______email ______

Colin Community Counselling is an Equal Opportunities Employer and does not discriminate on the grounds of religion, race, age, disability or sexual orientation.

Declaration:

I declare that the information in this application form is, to the best of my knowledge true and complete.

Signed ______Date ______

Office use only

Criteria
Short listing
Interview
Outcome

Colin Community Counselling is Registered as a Company Limited by Guarantee in Northern Ireland NI 602033 and is recognised as a Charity for Tax Purposes with the Inland Revenue. Page 1

Sessional Application 2018

Colin Community Counselling is Registered as a Company Limited by Guarantee in Northern Ireland NI 602033 and is recognised as a Charity for Tax Purposes with the Inland Revenue. Page 1

Sessional Application 2018

Colin Community Counselling is Registered as a Company Limited by Guarantee in Northern Ireland NI 602033 and is recognised as a Charity for Tax Purposes with the Inland Revenue. Page 1