Group supervision application

This form is for qualified therapists and counsellors who would like to join the free monthly group supervision. Kingsley reads every application and checks the details against your professional body's public register before replying, so please give them exactly as they appear there, and please do not attach certificates or include any information about clients.

Full name (required)

Email address (required)

Your professional role (required)
Please chooseCounsellorPsychotherapistPsychotherapeutic counsellorCounselling psychologistClinical psychologistOther

Your professional body (required)
Please chooseBACPNCPSUKCPACCCOSCAHCPC (practitioner psychologist)Other

If you chose Other, the name of your professional body

Your membership level and registration number, exactly as they appear on the public register (required)

The address of your entry on the public register, if it has one

Your counselling or psychotherapy qualification, with the university or awarding body and the year (required)

Where you practise (required)
Please choosePrivate practicePrivate practice and an agency or organisationAn agency or organisation onlyThe NHS

Do you hold professional indemnity insurance for your practice? (required)

YesNo

Do you have your own individual clinical supervisor? (required)

YesNo

What you hope to gain from the group, in a few lines (optional)

I confirm that the details above are accurate, and I agree that Marking Therapy may check them against my professional body's public register.

I understand that the group runs alongside, and not instead of, my own individual supervision, and that any client material I bring will be anonymised so that no client can be identified.

I have read the privacy notice, and I agree to my details being used to consider this application and, if I am accepted, to my email address being added to the group's mailing list.