03/10/18

Lifecentre

APPLICATION FORM FOR LIFECENTRE

PLAY/ART THERAPIST
  1. PERSONAL
/ Full Name: Mr/Ms/Mrs/Miss.
  1. Address:
Post Code: /

Tel. No.’s

Home:
Mobile:
e-mail:
  1. Do you have a current UK driving licence?
Do you own a car?
4a). Up to how many hours are you available to work?
4b). On what days and times are you available to work? Mon-Sat 8am – 7pm
4c). What age range of children and young people are you qualified to work with?
  1. WHAT PLAY/ART THERAPY / COUNSELLING QUALIFICATIONS DO YOU HAVE – PLEASE PARTICULARLY SPECIFY QUALIFICATIONS TO WORK WITH CHILDREN AND YOUNG PEOPLE:

Title of Qualifications / Number of Hours / Dates

From To

/ Who accredited by/Where Studied
  1. LIST ANY OTHER RELEVANT COURSES ATTENDED / QUALIFICATIONS, IN PARTICULAR ANY TRAUMA RELATED TRAINING

Name of Course / Number of Hours / Dates

From To

/ Who accredited by
7. List any other non therapy qualifications?
8. Are you a member of a professional body? Please state which if so:
Are you on the BAPT Register? (Play Therapists)? Yes/No
If yes, please give registration number:
Are you HCPC Registered (Art Therapists)? Yes/No
If yes please give registration number:
What post qualification experience do you have? Please state number of hours, where practised and client group:
9. What experience do you have of working with children/young people who have been sexually abused?
List any additional experience you may have of working with children and young people generally:
10. Interests:
11. Appointees are required to work in a way that is actively sympathetic, respectful of and supportive towards the Christian values and work of the Charity and the role of prayer within the organisation. They should be comfortable and congruent with being able to participate in Christian prayer for client and other team members’ needs (eg during a time of prayer at team meetings), seeking to be inclusive to all styles of church background represented, as this is part of the ethos of the charity.
Please describe how you would seek to fulfil these requirements?
12. Lifecentre is an ecumenical Christian organisation and requires its staff to work in such a way as to respect and work within the Christian foundation and ethos of this service.
I agree to work as above Yes No
Church Involvement (if applicable – please note, this is not a requirement):
-Church background:
-current church attending (if applicable) and level of involvement:
13.Reasons for applying; including what you feel you would have to offer to
this post:
14. Play/Art Therapy Philosophy ...please explain your therapeutic approach:
15. What Safeguarding Children training have you attended … please
give details:
16. Lifecentre works to a Safeguarding Children policy and works to West Sussex Safeguarding standards. Explain how you would envisage working in regards Safeguarding issues. Please give examples of what types of complications/issues you would need to be aware of:
REFERENCES:
Please give name and addresses of two referees who are not related to you, who we can approach for a confidential assessment of your suitability for this job. We are looking for a professional reference and a personal/church reference.
Name:
Capacity in which you know this person:
Address:
Postcode:
Tel No: / Name:
Capacity in which you know this person:
Address:
Postcode:
Tel No:
SIGNATURE OF APPLICANT
Signed...... Dated......

Please also include with this application your C.V and email to:

Kim Gomes, Lifecentre Operations Manager,

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