Practitioner Registration – CV submission

You are here : Talking Therapies Homepage » Practitioner Network » Practitioner Registration – CV submission

Thanks for your interest in joining the Talking Therapies Network, please complete the form below with as much detail as possible and submit it to us.

NB, if you partially complete this form and navigate away from it, it will reset !

If you want to complete this over some time, do write your answers in a word processing document and paste them in here before moving away from the page.

Name
Email Address
Your Personal Tel No (Kept Private)
Your Practice Tel No (For the Public)
Home Address (Kept Private)
Practice Address(es) ( For the Public)
Over the last year, roughly how many hours therapy have you offered a week, on average?
Over the last five years, roughly how many hours therapy have you provided in total?
Please tell us about your training(s). What qualifications? Post grad or undergrad? When were they? How many hours were they? What were the approaches, etc etc
Please tell about your professional accreditations/affiliations. Dates obtained and of renewal
Please tell us concisely about your theoretical orientation
CBT experience and training
Experience of competency, protocol or manualised driven therapeutic approaches
Tell us about your views of working to diagnostic categories and/or protocol ways of working
Why do you want to work with the Talking Therapies network?
Please tell us if you have ever had any complaints upheld against you (or not) or whether you have ever been disciplined by a service or professional organisation? If so, can you please give details.
Professional Insurer and month of renewal
What is the name and theoretical orientation of your supervisor?
Would you be prepared to engage in additional or alternative (monthly) supervision ?
Please give us two referees, contact details, and tell us how you know them.
Is there anything else you want to tell us