Volunteer application
This form is for volunteers and students that would like to apply for counselling placements and volunteer opportunities.

Please fill out the form to the best of your ability and ensure that any questions with a red * next to them are answered or we will not received your application.

Once you have completed the form in its entirety click submit and a member of staff will be in contact with you if we have placements available.

Please be aware that we can only provide hours that our service allows, this means that we put the clients needs first and that there may be times when we experience less service demand. We will also only assign clients to you if they are the correct therapeutic fit and your skill set/knowledge will be beneficial to the client.
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Email *
Forename *
Surname *
D.O.B *
MM
/
DD
/
YYYY
Address *
Contact number *
Email *
Days that you are available for counselling *
Required
Do you speak any languages other than English (please specify)
Do you have a current enhanced DBS?
Clear selection
(If not) Would you allow us to carry out an enhanced DBS if a position is offered? *
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