Placement/Volunteer Staff Application form

Please complete the form below along with your CV and email it to info@youandmecounselling.org.uk only after you have been signed off as fit to practice by your college or university. We will contact you for an interview upon receiving your form if we think you are a suitable candidate to join our team. If you do not hear from us, it means your application has not been successful. Please note that if you are successful in obtaining a placement with us, you will be required to see both children and adults, and have in-house supervision.

Name:

Address:

Mobile:

Home:

Email:

College/University attended/attending:

College/University Name and Address:

Reference Name in College/University:

His/her email address:

What is your theoretical orientation?

Is YMC your first placement?

If no, what is the name and email of person to contact for reference in your previous placement

If this is your first placement, please give the name and contact email for a second reference

How many clients’ hours experience?

How many years’ experience do you have?

How many years do you intend to stay with us?

What other experiences do you have that you feel would be beneficial as a counsellor?

Please explain in the box below why you think YMC is your preference organisation to work. Please provide us with as much details as possible.

I understand that I will be required to see both children and adults *