Counsellor/Psychotherapist Accreditation Scheme
‘To demonstrate the capacity for independent, competent, ethical practice’
Application Pack
Contents:
Standard and Criteria for Application
2
Application Form
5
Sending your Application
23
Guidance for Supervisors
24
Supervisor Report Form
25
Guidance for the Proposer
31
Proposer Statement Form
33
Card Payment Slip
35
This pack must be read in conjunction with the Guide to Applying
BACP House, 15 St John's Business Park, Lutterworth
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Counsellor/Psychotherapist Accreditation Scheme
STANDARD FOR ACCREDITATION
‘To demonstrate the capacity for independent, competent, ethical practice’
You can apply for accreditation if you provide counselling or psychotherapy to
individual people, couples, groups or families and can provide satisfactory evidence
to meet all Criteria 1 to 9
CRITERIA FOR APPLICATION
Eligibility Criteria 1-5
When you apply and throughout the assessment process, you must be:
1. A registered member of BACP
2. Covered by professional indemnity insurance
When you submit your application you must be
3. Practising counselling or psychotherapy
4. Your training and supervised practice:
You must have undertaken training and supervised practice to meet one of the following
criteria:
EITHER:
4.1 You have been awarded a qualification from a BACP accredited training course
AND
 Have been in practice at least three years when you apply for accreditation
 Have at least 450 hours of supervised practice accumulated within three to six years
(they do not have to be consecutive years)
 Of the 450 hours at least 150 of the hours of supervised practice must be after the
successful completion of your BACP accredited course
 Have been supervised for at least 1½ hours per month throughout the period of practice
submitted
OR:
4.2 You have successfully completed and received an award for practitioner training
that:
 Included at least 450 hours of tutor contact hours
 Was carried out over at least two years (part-time) or one year (full-time)
 Had a supervised placement as an integral part of the training
 Covered theory, skills, professional issues and personal development
AND
 Have been in practice at least three years when you apply for accreditation
 Have at least 450 hours of supervised practice accumulated within three to six years
(they do not have to be consecutive years)
 Of the 450 hours at least 150 hours of supervised practice must be after you have
successfully completed your practitioner training
 Have been supervised for at least 1½ hours per month throughout the period of practice
submitted.
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July 2014
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Counsellor/Psychotherapist Accreditation Scheme
5. Supervision
You have an ongoing contract for counselling/psychotherapy supervision for a minimum of 1½
hours per month for each month in which practice is undertaken.
Reflective Practice Criteria 6-9
6. Continuing Professional Development (CPD)
6.1
6.2
6.3
Describe one CPD activity, relevant to your area of practice that you have
undertaken in the 12 months before applying for accreditation
Provide reason(s) for choosing the activity with reference to your practice
Show how the activity has influenced your practice
7. Self-awareness
7.1
7.2
7.3
8.
Describe an experience or an activity which has contributed to your own selfawareness
Provide a reason(s) for choosing the experience or activity
Show how you use this self-awareness in your practice
Knowledge and understanding
8.1
8.2
8.3
Describe a rationale for your client work with reference to the theory / theories that
inform all your practice.
Describe the place of your self-awareness within your way of working
Describe how issues of difference and equality impact upon the therapeutic
relationship.
9. Practice & Supervision
In your case material account for:
9.1 How your practice is consistent with your described way of working (in 8.1)
9.2 How you use your self-awareness in the therapeutic relationship
9.3 How your practice demonstrates your awareness of issues of difference and equality
and the impact they have on your counselling / psychotherapy relationships
9.4 Use of the BACP Ethical Framework for Good Practice in Counselling and
Psychotherapy
and how supervision influences your practice by:
9.5 Describing the awareness you have gained through reflection in and on supervision
9.6 Showing how you apply that awareness in your practice
If you would like to
www.bacp.co.uk/accreditation
download
an
Application Pack: plain language version 8
application
July 2014
pack,
visit
Accreditation
at
3
Counsellor/Psychotherapist Accreditation Scheme
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Application Pack: plain language version 8
July 2014
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Counsellor/Psychotherapist Accreditation Scheme
APPLICATION FORM
Part A Your details
BACP member number:
BACP Register number:
Title (Mr, Mrs, Ms, other):
First name(s):
Surname:
Address:
Postcode:
Daytime phone number:
E-mail address:
May we contact you by e-mail?
Yes
No
How would you like your name to appear on any accreditation certificate we send you?
(For example, William Smith, W Alan Smith, and WA Smith)
When did you first start to practice as a counsellor / psychotherapist?
If you have attended a BACP workshop or surgery on accreditation, please state which one:
Location:
Presenter (if known):
Date:
Although we strongly recommend it, you do not have to attend an accreditation workshop
to become accredited. See the website (www.bacp.co.uk/events ) for more details on our
workshops.
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Counsellor/Psychotherapist Accreditation Scheme
Part B
Complaints and refusals
Please delete YES or NO to leave the correct answer showing
1) Is there a formal complaint against you currently being investigated by us or
any other relevant professional body? (If yes, see below)
YES
NO
2) Has any formal complaint made against you been upheld by us or any other
relevant professional body? (If yes, please provide a copy of the details of the
complaint and outcome from the relevant body.)
YES
NO
3) Have you been refused recognition, certification or accreditation by any
relevant professional body? (If yes, please provide a copy of the details of the
refusal from the body concerned.)
YES
NO
4) Have you applied for accreditation by BACP previously?
(If yes, please include a copy of your decision letter.)
YES
NO
If you have answered YES to Part B 1), we will be unable to accept your application for
accreditation until the outcome of the investigation has been decided.
Part C
Eligibility for application
Please delete YES or NO to leave the correct answer showing:
Are you currently a registered member of BACP?
YES
NO
Do you understand that you must remain a registered member in order to
submit your application?
YES
NO
Do you have professional indemnity insurance to cover for your work?
YES
NO
Do you agree to abide by the BACP ‘Ethical Framework for Good Practice in
Counselling and Psychotherapy’?
YES
NO
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Counsellor/Psychotherapist Accreditation Scheme
Part D
Current practice
Please delete YES or NO to leave the correct answer showing:
YES
Are you currently in practice as a counsellor/psychotherapist?
NO
How many client hours do you undertake each month?
Please give details of all your current counselling/psychotherapy practice.
(In each case please give your role, the setting and include your employer’s details)
Declaration of honesty
Sign and date below to confirm that your application is true and complete.
I declare that as far as I know, my application contains only true information. I hereby authorise
the officers of BACP to make such enquiries as they consider necessary to verify the information
given.
I understand that if any incorrect, incomplete or plagiarised information is discovered, my
application for accreditation may be invalidated and my application withdrawn. Such matters may
also be referred for consideration under the Professional Conduct Procedure or the Article 12.6
procedure as appropriate.
Signed:
Application Pack: plain language version 8
Dated:
July 2014
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Counsellor/Psychotherapist Accreditation Scheme
Part E
Current practice continued
Diary of your current practice
In the blank tables provided, please give details of your work with clients over the past month. (If
you cannot use the last month for any reason, use a four-week period from the past six months.)
The hours of counselling/psychotherapy work you use in your application should not include
assessment interviews, training sessions, supervision, cancelled or missed sessions (Could or Did
Not Attend or CNA/DNA).
The number of sessions you show should be similar to the number shown in Part D and should
show all client types that you work with.
Please show the sessions for each type of work setting and keep all sessions from the
same setting together in the same table. Do not give clients’ names. Give each client a
reference letter or number, and give a description of their gender (‘M’ for male and ‘F‘ for female)
and age in brackets. For example, for a female client aged 45 and referred to as client A, enter A
(F, 45).
If you have a large number of clients and work settings, please copy the blank tables.
Here are some examples:
Type: individual clients, GP practice
Client Details: P (50, M), Q (19, F)
Date
Session
Client
no.
02.04.2012 31
P
09.04.2012 32
P
Length
(mins)
50
50
16.04.2012
12.04.2012
19.04.2012
50
50
50
33
5
6
P
Q
Q
Main concerns of session
feels hopeless and helpless about his marriage
expectations about marriage, memories of parents’
marriage
deeper look at relationship with mother
looking back over first week of ‘food diary’
‘going backwards’ and feeling out of control
Type: couple work, private practice
Client Details: X (36, F) + Y (39, M)
Date
Session
Clients
no.
02.04.2012 10
X, Y
DNA
09.04.2012 11
both
Length
(mins)
50
50
Main concerns of session
Y is ill. X feels happier about Y’s job, taking night
classes
Talking about ending
Type: family therapy, ABC Counselling Agency
Client Details: A (41, M) + B (43, F) + C (13, M) + D (12, F)
Date
Session
no.
Clients
Length
(mins)
Main concerns of session
01.04.2012
08.04.2012
15.04.2012
22.04.2012
9
10
11
12
All
All
A, B
All
60
60
60
60
beginning to talk about ending
agreed ending in two weeks
parents only scheduled to attend, beginning to end
final session
Group work can be shown in the same way as the family therapy example above
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Counsellor/Psychotherapist Accreditation Scheme
Part E Diary of Current Practice
Type:
Client details:
Date
Session no.
Client/s
Length (mins)
Main concerns of session
Client/s
Length (mins)
Main concerns of session
Client/s
Length (mins)
Main concerns of session
Client/s
Length (mins)
Main concerns of session
Type:
Client details:
Date
Session no.
Type:
Client details:
Date
Session no.
Type:
Client details:
Date
Session no.
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Counsellor/Psychotherapist Accreditation Scheme
Your route to accreditation
If you are applying using route 4.1 (BACP accredited training), you
should now go to part F
If you are applying using route 4.2 (other training) you should now go to
part G
See the Guide to Applying section on ‘your training’ if you are not
sure which route is right for you.
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Counsellor/Psychotherapist Accreditation Scheme
Part F
Applicants applying under Criterion 4.1
BACP accredited training course
Full title of course:
Main theoretical approach:
Other theoretical approaches:
Training institution’s name:
Institution’s address:
Postcode:
Institution’s phone number:
Start date of course:
Date completed:
Title of the award you received:
Date received:
You must send us verified copies of your award from this course.
The award certificate must clearly show on it that the course is accredited by BACP. If it doesn’t,
you must send us an official letter from the course, confirming that you have successfully
completed the full BACP accredited course. It is your responsibility to provide this.
 See the Guide to Applying section on ‘your training’ for more information
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Counsellor/Psychotherapist Accreditation Scheme
Part F continued
Practice submitted under Criterion 4.1
You must give details of at least 450 hours of counselling/psychotherapy practice. You should
show at least three and not more than six years practice. (These do not have to be calendar years,
they could be separate 12-month periods and do not have to be consecutive.)
You must show that at least 150 hours of your practice took place after you completed the training
submitted. Please identify this in the column headed post training practice hours. Give a total for
each 12 month period and a final cumulative total for all practice hours claimed.
Please use a separate line of the table to show each 12 month period. Do not show a number of
practice periods together on one line, even if this was continuous practice in the same setting. You
can continue on a separate sheet if necessary.
For all the practice you have given details of, you must have been supervised at least 1½ hours a
month.
Use the last column to confirm that you have included supervision details to cover this practice.
Here is an example of a completed table:
Dates for
each 12
month
period
(from - to)
Your role, the place and
setting for this practice
From:
Addiction counsellor at
01/01/07
ABC agency, Luton
To:
31/12/07
From
Addiction counsellor at
01/01/08
ABC agency, Luton
To
:31/12/08
From:
Counsellor of patients,
06/04/09
consulting room at
To:
Glendale Surgery, Bristol.
05/04/10
From:
Own private counselling
06/04/10
practice, 28 The Elms,
To:
Bristol
05/04/11
From:
Own private counselling
10/03/12
practice, 28 The Elms,
To:
Bristol
23/12/12
Please give totals for these two
columns:
Hours of
practice
during period
How many
are posttraining
practice
hours?
Number of
months
practiced in
this period
Have you
included
supervision
details for
this practice?
100
0
10
Y
100
60
10
Y
150
150
10
Y
73
73
8
Y
162
162
8
Y
585
445
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Counsellor/Psychotherapist Accreditation Scheme
Part F continued
Dates for
each 12
month
period
(from - to)
Your role, the place and
setting for this practice
Hours of
practice
during period
How many
are posttraining
practice
hours?
From:
Number of
months
practiced in
this period
Have you
included
supervision
details for
this practice?
Y/N
To:
From:
Y/N
To:
From:
.
Y/N
To:
From:
Y/N
To:
From:
Y/N
To:
Please give totals for these two
columns:
Now go to Part
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H
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Counsellor/Psychotherapist Accreditation Scheme
Part G
Applicants applying under Criterion 4.2
Training not accredited by BACP
The training you give details of in this section does not need to have been undertaken all on one
course, although there must be clear evidence of practitioner training in counselling/psychotherapy.
Please give details of your course or courses. Copy this form for each course you want to give
details of, starting with the most substantial course(s). You can only use courses that you have
successfully completed and for which you have received the award.
Your training must have included a supervised placement as an integral part of your course. You
must be able to give details of this placement. You should not count your placement hours in the
formal taught contact hours total given for the course.
You must show how the course covered the following elements:
 theory
 skills
 professional issues
 personal development
If you have an official breakdown of the course hours and elements from your training institution,
you can send this providing the breakdown is clearly shown.
You must send us verified copies of your award from this course
 See the Guide to Applying section on ‘your training’ for more information
Full title of course:
Main theoretical approach:
Other theoretical approaches:
Training institution’s name:
Institution’s address:
Postcode:
Institution’s phone number:
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Counsellor/Psychotherapist Accreditation Scheme
Part G continued
Number of formal taught contact hours (not including hours in placement). For example, three
hours a week, two 20-hour residential weekends over two academic years = 202 hours:
Total taught hours:
Start date of course:
Date completed:
Title of the award you received:
Date received:
Dates of your placement:
Please give details of your placement:
Please briefly describe how theory, skills, professional issues and personal development were
covered on the course or provide a course summary sheet:
Theory:
Skills:
Professional Issues:
Personal Development:
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Counsellor/Psychotherapist Accreditation Scheme
Part G continued
Practice submitted under Criterion 4.2
You must give details of at least 450 hours of counselling/psychotherapy practice. You should
show at least three and not more than six years practice. (These do not have to be calendar years,
they could be separate 12-month periods and do not have to be consecutive.)
You must show that at least 150 hours of your practice took place after you completed the training
submitted. We will take this to be from the date of the most recent qualification you submit. Please
identify this in the column headed post training practice hours. Give a total for each 12 month
period and a final cumulative total for all practice hours claimed.
Please use a separate line of the table to show each 12 month period. Do not show a number of
practice periods together on one line, even if this was continuous practice in the same setting. You
can continue on a separate sheet if necessary.
For all the practice you have given details of, you must have been supervised at least 1½ hours a
month.
Use the last column to confirm that you have included supervision details to cover this practice.
Here is an example of a completed table:
Dates for
each 12
month
period
(from - to)
Your role, the place and
setting for this practice
From:
Addiction counsellor at
01/01/07
ABC agency, Luton
To:
31/12/07
From
Addiction counsellor at
01/01/08
ABC agency, Luton
To
:31/12/08
From:
Counsellor of patients,
06/04/09
consulting room at
To:
Glendale Surgery, Bristol.
05/04/10
From:
Own private counselling
06/04/10
practice, 28 The Elms,
To:
Bristol
05/04/11
From:
Own private counselling
10/03/12
practice, 28 The Elms,
To:
Bristol
23/12/12
Please give totals for these two
columns:
Hours of
practice
during period
How many
are posttraining
practice
hours?
Number of
months
practiced in
this period
Have you
included
supervision
details for
this practice?
100
0
10
Y
100
60
10
Y
150
150
10
Y
73
73
8
Y
162
162
8
Y
585
445
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July 2014
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Counsellor/Psychotherapist Accreditation Scheme
Part G continued
Dates for
each 12
month
period
(from - to)
Your role, the place and
setting for this practice
Hours of
practice
during period
How many
are posttraining
practice
hours?
From:
Number of
months
practiced in
this period
Have you
included
supervision
details for
this practice?
Y/N
To:
From:
Y/N
To:
From:
.
Y/N
To:
From:
Y/N
To:
From:
Y/N
To:
Please give totals for these two
columns:
Now go to Part
Application Pack: plain language version 8
July 2014
H
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Counsellor/Psychotherapist Accreditation Scheme
Part H
Supervision of practice (Criterion 5)
This part has separate forms for
 individual supervision
 peer or group supervision.
Please complete a form for:
 each supervision arrangement for the practice hours shown in Parts F or G
 each supervision arrangement for your current work and is in addition to your supervisor’s
report.
If you have more than one arrangement with the same supervisor (for example, you have the same
supervisor for individual supervision and group supervision), you must complete a separate page
for each different arrangement. You can copy these forms as many times as you need.
You must show that all practice submitted in parts F or G is supervised for at least 1½ hours per
month.
This can be achieved through individual, group or peer supervision or a combination of these.
Remember that you cannot count all the time in group or peer supervision – see the Guide to
Applying for how to calculate what time you can count towards this.
Ad-hoc arrangements cannot be included.
 See the Guide to Applying section on ‘Supervision’ for more information
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Counsellor/Psychotherapist Accreditation Scheme
Part H continued
INDIVIDUAL supervision arrangements
Please complete a copy of this sheet for each individual supervision arrangement.
Supervisor’s name:
Supervisor’s address:
Postcode:
Supervisor’s Qualification/s:
Contract start date:
End date: (If this supervision arrangement is still
current, write ‘ongoing’ for the end date.)
Contracted frequency of supervised sessions:
Contracted length of each session:
Which practice does this arrangement cover? (e.g. Albany GP surgery, Sept 01 to Sept 03)
Is, or was there, any professional or personal relationship between you and
your Supervisor, other than for the purpose of this supervision?
YES
NO
YES
NO
 See the Guide to Applying section on ‘Supervision’ for more information
If yes, please explain:
Did this Supervisor supervise the case material you have used for Criterion 9?
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Counsellor/Psychotherapist Accreditation Scheme
Part H continued
PEER OR GROUP supervision arrangements
Please complete a copy of this sheet for each peer or group supervision arrangement
Supervisor’s name:
Supervisor’s address:
Postcode:
Supervisor’s Qualification/s:
Are you telling us about group or peer supervision?
Contract start date:
End date: (If this supervision arrangement is still
current, write ‘ongoing’ for the end date)
Contracted frequency of supervised sessions:
Contracted length of each session:
How many people are supervised in this group?
(if the arrangement is group supervision, do not include the group facilitator in this number)
Which practice does this arrangement cover? (e.g. Albany GP surgery: Sept 01 to Sept 03)
Is, or was there, any professional or personal relationship between you and
your Supervisor, other than for the purpose of this supervision?
YES
NO
YES
NO
 See the Guide to Applying section on ‘Supervision’ for more information
If yes, please explain:
Did this Supervisor supervise the case material you have used for Criterion 9?
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Counsellor/Psychotherapist Accreditation Scheme
Criteria 6, 7, 8 & 9
Reflective Practice
All pieces of work submitted in support of Criteria 6, 7, 8 and 9 should be presented as follows:

Referencing – please ensure that you indicate where your work meets each criterion within the
work by using brackets, section headings or margin notes. For example, under 8, indicate
where (8.1) is met.
 Word count – Please keep within the word count for each criterion. These are detailed below.
You must show the word count at the end of each piece of work.

Further information on these criteria is available in the Guide to Applying
Criterion 6
Continuing Professional Development - CPD
This part asks about your commitment to CPD in the 12 months up to the date of making your
application and relates to an activity undertaken post qualification. Examples are training
courses, conferences, workshops, research, discussion groups or reading (this list is not
exhaustive).
6.1
Describe one CPD activity, relevant to your area of practice that you have
undertaken in the 12 months before applying for accreditation
Please state clearly the date of the activity you discuss.
6.2
Provide reason(s) for choosing the activity with reference to your practice
6.3
Show how the activity has influenced your practice
Maximum word count = 900 words
Criterion 7
Self-Awareness
This part is about your self-awareness gained through, for example, personal therapy, membership
of a personal development group, or a major life change (this list is not exhaustive). This activity
can have taken place at any time.
7.1
Describe an experience or activity which has contributed to your own selfawareness.
7.2
Provide a reason(s) for the choice of the experience or activity.
7.3
Show how you use this self-awareness in your practice.
Maximum word count = 900 words
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Counsellor/Psychotherapist Accreditation Scheme
Criterion 8
Knowledge and understanding
This part is about the knowledge used that informs your practice with clients. It incorporates your
understanding and use of theory/theories and on what basis you integrate different theory/theories
with clients in a meaningful way.
8.1
Describe a rationale for all your client work with reference to the theory /
theories that informs all your practice
(If the theory/theories used did not form part of your practitioner training / CPD
evidence, please explain how you came to practise in this way.)
8.2
Describe the place of your self-awareness within your way of working
(This section should describe how you use your reflective awareness of yourself in
relation to your understanding of the therapy process.)
8.3
Describe how issues of difference and equality impact upon the therapeutic
relationship
(This awareness should also include how you consider issues of difference and
equality in the context of your work.)
Maximum word count = 1000 words
Criterion 9
Practice and the use of supervision
This section is about how you practise. Your case material should demonstrate the application of
the theory/theories described previously under 8.1.
You may submit one or two pieces of case material.
9.
Practice and Supervision
In your case material account for:
9.1
How your practice is consistent with your described way of working (as
described in 8.1)
9.2
How you use your self-awareness in the therapeutic relationship
9.3
How your practice demonstrates your awareness of issues of
difference and
equality and the impact they have on your counselling /
psychotherapy relationships
9.4
Use of the BACP Ethical Framework for Good Practice in Counselling and
Psychotherapy
And you should show how you have gained awareness from supervision and demonstrate how
this awareness is applied in your work with client(s) in your case material.
9.5
9.6
Describing the awareness you have gained through reflection in and on
supervision
Showing how you apply that awareness in your practice
Maximum word count = 3,000 words in total
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Counsellor/Psychotherapist Accreditation Scheme
SENDING US YOUR APPLICATION
Please send us:

Your original application form, including a completed Supervisor Report signed by both
yourself and your supervisor and verified copies of your award certificates. Ensure your
name and membership number is on any additional or separate sheets. Make sure that the
original application form includes your original signature on the relevant pages.

One completed and collated copy of the documents listed above, in addition to your
original application.

Your fee for accreditation* (£230, or £115 if you pay a reduced-rate membership fee).
We accept cheques and card payments (Delta, Maestro/Switch, MasterCard or Visa only).
Please write cheques to ‘BACP’ and put your surname and membership number on the
back. Call 01455 883300 to make a card payment or use the card payment slip provided. If
we accept your payment, that does not mean you have been accredited.

Please attach the cheque or payment slip to the front page of this application form.
Post your application package to the Accreditation Team, using the address below. We will
let you know that we have received your application.
You must arrange for your Proposer to fill in his or her report and send it to us separately,
to arrive at the same time as your application.
We will not return your application. It will be destroyed after we have assessed it, so you
should make a copy of your application for your own records.
Accreditation Team
British Association for Counselling and Psychotherapy
BACP House
15 St John's Business Park
Lutterworth
Leicestershire, LE17 4HB
*This fee is correct at 1 April 2014.
From time to time we review our fees. Please check the website or call us to find out the
current fee.
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Counsellor/Psychotherapist Accreditation Scheme
GUIDANCE FOR THE SUPERVISOR
Give this sheet to your Supervisor with the Supervisor Report form.
A Supervisor Report is required as part of the application for accreditation. As a nominated
Supervisor you should confirm the supervision arrangements. Prior to completing the Report you
should read the case material, which should be a typical example of the applicants client work.
When you have completed your report, please give it to the applicant. They will sign it and send it
to us with their application form. The applicant may also ask you to witness and verify their training
certificate(s) to confirm they are authentic.
We may contact you as part of the assessment procedure.
If you have any questions about your report, please contact us on 01455 883300
Thank you for your time and commitment to the accreditation process
Company limited by guarantee 2175320
Registered in England & Wales.
Registered Charity 298361
BACP House, 15 St John's Business Park, Lutterworth
LE17 4HB, Tel: 01455 883300, Fax: 01455 550243,
Minicom: 01455 550307
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Counsellor/Psychotherapist Accreditation Scheme
SUPERVISOR REPORT
Part A
Applicant’s details
Accreditation applicant’s name:
Applicant’s membership number:
Part B
Supervisor details
Your name:
Address:
Daytime phone number:
Email address:
Profession or occupation:
Professional body:
Your membership number:
Please give your qualifications and experience as a supervisor and practitioner:
Is there any professional (for example, line-management responsibility) or
personal relationship between you and the applicant, other than for the
purpose of this supervision?
YES
NO
If yes, please give details:
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Counsellor/Psychotherapist Accreditation Scheme
SUPERVISOR REPORT - continued
Part C
The supervision contract
What supervision arrangement do you have with the applicant (tick all that apply)
Individual
Peer
Group
Please complete a section for the arrangement / all arrangements that you have indicated above.
Individual supervision
Contract start date:
End date: (If this supervision arrangement is still
current, write ‘on-going’ for the end date.)
Contracted frequency of sessions:
Contracted length of sessions:
Peer supervision
How many peer members are there?
Contract start date:
End date: (If this supervision arrangement is still
current, write ‘on-going’ for the end date.)
Contracted frequency of sessions:
Contracted length of sessions:
Group supervision
How many supervisees are in this group?
Contract start date:
End date: (If this supervision arrangement is still
current, write ‘on-going’ for the end date.)
Contracted frequency of sessions:
Contracted length of sessions:
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Counsellor/Psychotherapist Accreditation Scheme
SUPERVISOR REPORT – continued
Part D
Supervisor Declaration
Please tick the appropriate box and complete as applicable:
I have supervised all the case material that the applicant has provided for this application
OR
I have supervised part of the case material that the applicant has provided in this application
Please state which part:
OR
I did not supervise any of the case material the applicant has provided in this application
Part E
Your supervision of the applicant’s work
As the applicant’s Supervisor, what is your understanding of the applicant’s theoretical orientation
as applied to their work?
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Counsellor/Psychotherapist Accreditation Scheme
SUPERVISOR REPORT – continued
What is the applicant’s understanding of the BACP Ethical Framework for Good Practice in
Counselling and Psychotherapy?
How does the applicant’s work reflect his or her awareness of the BACP Ethical Framework for
Good Practice in Counselling and Psychotherapy?
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Counsellor/Psychotherapist Accreditation Scheme
SUPERVISOR REPORT – continued
Please comment on the applicant’s use of supervision in general and to the case material provided
(if you have supervised this work).
What action – as agreed with the applicant – would you take if either of you were concerned that
the work might exceed the limits of his or her competence?
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Counsellor/Psychotherapist Accreditation Scheme
SUPERVISOR REPORT – continued
What action you would take to protect the applicant’s clients if the standard of his or her work was
poor at any time?
Any additional comments from Supervisor or Applicant:
Part F
Signatures (please ensure these are original)
Applicant’s signature:
Date:
Supervisor’s signature:
Date:
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Counsellor/Psychotherapist Accreditation Scheme
GUIDANCE FOR THE PROPOSER
Give this sheet to your Proposer w ith the Proposer Statement
A report from an appropriate person, who is willing to propose the applicant for accreditation, is
necessary as part of the application process.
The Proposer Statement is confidential. Do not give it back to the applicant. Send it to
BACP directly and independently of the application form.
As a Proposer, you should know the applicant and their work as a counsellor/psychotherapist well
enough to confirm that they are:



A responsible person
Someone who maintains a professional standard of integrity
Someone who is of good standing within their profession
You should be a member of a professional association appropriate to your field of work (for
example, BACP member, BAPPS member, BCP registered, BPS registered, COSCA accredited
counsellor, IACP (formerly IACT) member, UKCP registered). This list is not exhaustive, however
must be within the talking therapies or related care field.
You should not be the Supervisor who filled in the Supervisor Report for this application.
You should not be a client or an ex-client of the applicant.
You should not be the partner or a close relative of the applicant.
As Proposer, your signature on the form shows that you support the application to become a BACP
accredited counsellor or psychotherapist. The applicant may also ask you to sign their training
certificate(s) to prove they are authentic.
Please fill in your statement honestly. You should answer all questions, writing ‘not applicable’ if
appropriate (please do not leave questions unanswered). Please return your Statement so it
reaches us at the same time as the application (agree the date of return with the applicant). We
may contact you as part of the assessment procedure.
Please send your completed Statement direct to Accreditation at the address shown at the end of
the Statement.
If you have any
on 01455 883300
questions
about
completing
your
Statement,
please
phone
us
Thank you for your time and commitment to the accreditation process.
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Counsellor/Psychotherapist Accreditation Scheme
PROPOSER STATEMENT (CONFIDENTIAL)
You should have read the accompanying guidance for the Proposer
before you complete this form
Part A
Applicant’s details
Applicant’s name:
Applicant’s BACP number:
Part B
Proposer’s details
Your name:
Your address:
Postcode:
Daytime phone number:
Email address:
Profession or occupation:
Professional body:
Your membership number:
Professional qualifications:
Part C
Your knowledge of the applicant
How long have you known the applicant?
In what capacity do you know the applicant?
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Counsellor/Psychotherapist Accreditation Scheme
PROPOSER STATEMENT - continued
The applicant should be a responsible person of good standing within the profession, who will
maintain a professional standard of integrity in dealing with both clients and colleagues. How does
the applicant meet these requirements?
In your opinion, is there any reason why the applicant should not be
considered for accreditation with BACP?
YES
NO
If yes, please give details:
PROPOSER STATEMENT - continued
Part D
Signature (please ensure this is original)
I propose the following person to be an accredited member of BACP
Applicant’s name:
Your signature:
Date:
Please send this report to the address below. Try to make sure that it will arrive at about the
same time as the application form.
Accreditation
British Association for Counselling and Psychotherapy
BACP House
15 St John's Business Park
Lutterworth
Leicestershire, LE17 4HB
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Counsellor/Psychotherapist Accreditation Scheme
CARD PAYMENT SLIP
If you want to pay by debit card or credit card, fill in this payment slip and attach it to the front of
your original application. We will take payment when we receive your payment.
PLEASE SEND ONLY ONE COMPLETED CARD PAYMENT SLIP – we only need one set of
details to process your payment. For security reasons, do not return this slip or your card details
by email.
Your full name:
Fee payable: £
BACP Member Number:
What is the card type?
Delta
Maestro / Switch
Card number:
Mastercard
Expiry date
Visa
Issue No
(Issue no. for Maestro/Switch only)
Name as it appears on card:
(the 3-digit number by the signature strip)
Card security number:
Billing address house number:
Billing address postcode:
BACP House, 15 St John's Business Park, Lutterworth
LE17 4HB, Tel: 01455 883300, Fax: 01455 550243,
Minicom: 01455 550307
Application Pack: plain language version 8
Company limited by guarantee 2175320
Registered in England & Wales.
Registered Charity 298361
July 2014
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