TO REGISTER PLEASE INPUT YOU UNIQUE REGISTRATION CODE:

Unique No?

Your Name (required)

Your Email (required)

Are you a U. K. qualified Clinical or Counselling Psychologist? | If not, tick No and complete the 'Other Qualifications' box below
YesNo

Other Qualifications

Do you have at least one year’s post training clinical experience?
YesNo

Are you registered with the Health and Care Professions Council (HCPC)?
YesNo

Do you currently have, or had any professional investigations?
YesNo

Do you have professional indemnity insurance? SEE NEXT QUESTION*
YesNo

*If not, would you be prepared to acquire professional indemnity insurance?
YesNo

Your Areas of Expertise | Tick as many as appropiate:

Addiction - Alcohol abuse/dependenceAddiction - Drug abuse/dependenceAddiction - Gambling and food addictionAddiction - Internet addictionAddiction - Sex and relationship addictionAddiction - Social media addictionADHD treatmentADHD assessment (Child & Adult)Anger ManagementAnxietyAutism assessment (Child & Adult)Behavioural challengesBipolar DisorderCancer diagnosisChild TherapyChild and Family therapyChronic Fatigue SyndromeCouples WorkDepressionDiabetes ManagementEating difficulties – Bulimia, AnorexiaExcessive WorryFunctional neurological disordersGrief/LossManaging Heart DiseaseMenopauseMid-Life challengeObesityObsessive Compulsive DisorderPain ManagementParenting/Family issuesPerinatel distressPsychometric TestingPost Natal DepressionPost Natal PTSDPost Traumatic StressRelationship problemsSelf-confidenceSelf-criticismShameStressWeight ManagementWork based issuesWork Challenges

Therapist Application Form | Checklist:

Complete the application form below.

You'll need to have ready - scanned/photographed copies of any Certificates that offer proof of Insurance, Dr/MSc university and Qualifications.

You'll also need to submit your CV and a picture of yourself.

Name and contact details of a supervisor (including their email address) and or reference.

Address:

Phone Number:

Qualifications & Dates:

Professional Registration Numbers:

ISO Number: (Data Protection)

Supervisor/reference | Name & contact details including their email address

Your Experience | 100+ word biography:

Areas of Interest:

Availability for sessional work:

File uploads Section:-

Submit proof of Insurance | Jpeg, Word or PDF file

Submit Proof for Dr/MSc & University | Jpeg, Word or PDF file

Submit proof of Qualifications | Jpeg, Word or PDF file

Submit your CV | Word or PDF file

Submit a Photo of yourself | Jpeg file

Next step - you will be contacted by one of the DST team -

This may lead to a 10 minute online interview with us.