RESOLVE

Please note placements are limited and not guarenteed.

Name

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DOB

College

Degree Level

Level 7
Level 8
Level 9

Do you have previous counselling experience?

Yes
No

If yes, please give a brief explantion

Do you have any previous relevant training?

Yes
No

If yes, please give a brief description

Are you garda vetted?

Yes
No

Do you have Counsellor Insurance?

Yes
No

Please tick areas which you are able to work in, during this placement.

One to One counselling
Group Counselling
Couples Counselling
Childrens Counselling
Adolescents Counselling
Addiction
Mindfulness
Person centred
CBT
Other

If other, please elaborate.

When are you looking to begin your placement?