Individual Therapy: Sign-up form
Starting in June, EVR will offer individual therapy sessions for support workers and nurses working with the East and Southeast Asian (ESEA) community. 

These sessions will be facilitated by an accredited professional therapist and will take place online. Each participant will receive 8 one-hour sessions, held weekly over 2 months. Due to limited availability, we can only offer 2 spots at a time. If you are placed on the waiting list, you will have to wait a minimum of 2 months to be allocated to a therapist. We understand this long waiting period is not ideal and are working to improve our service capacity. If you are put on the waiting list, we will notify you as soon as a spot becomes available. 

Please note that submitting an application does not guarantee selection. Once you sign up, your name will be entered into a lottery, and spots will be allocated randomly. For any questions, please contact us at info@evresea.com.
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What is your name? *
Where are you based in the UK? *
Do you identify as someone from ESEA (East and South East Asian) communities. If yes, which one?

*ESEA communities include but are not limited to those from Cambodia, Indonesia, Laos, Malaysia, Brunei, Vietnam, Myanmar, Philippines, Singapore, Thailand, China, Japan, Timor-Leste, Hong Kong, Mongolia, South Korea, North Korea, Taiwan, Tibet, their diasporas and those from mixed heritages.
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How old are you? *
Do you have access to a device with camera and microphone? *
Would you prefer online or face-to-face sessions? (this will depend on where you are based) *
What is your occupation? Where do you work? *
Are you willing to fill out a self assessment form before the start of your sessions and at the end of your 6 sessions? *
Do you have a time/day of the week preference to attend the sessions? *
Any comments/questions?
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