TRAINEE AND VOLUNTEER APPLICATION FORM
Name
Email
Address
Telephone
Mobile
Secondary education
Qualification
Year
University or College (if applicable) Qualification
Year
Counselling skills training
Year
Current (or past) counselling or psychotherapy course
Year of study
Experience of therapeutic work
George Leach
Placement manager
Psychological and
Counselling Services
Health Centre Building
University of Sussex
Falmer, Brighton
BN1 9RW
01273 878156
counselling@sussex.ac.uk
www.sussex.ac.uk
Other (relevant) work experience or information
Experience, and orientation, of personal therapy
What do you consider is meant by a therapeutic relationship?
What qualities do you feel you have which will help with the above?
Tell us what attracts you to this particular placement, and what qualities you could offer
specifically to young people?
Signed
Date
Please return to: George Leach, Placement Manager, PCS, Health Centre Building,
University of Sussex, Falmer, Brighton BN1 9RW. g.d.leach@sussex.ac.uk
*Whether you apply by email or complete this form by hand, please circle which of the
following days/times you would be available:
Monday/Thursday/Friday
mornings/afternoons
Tuesday/Wednesday
mornings/afternoons/ evenings
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