Earth Wisdom Ecotherapy Community Interest Company

Student Counsellor Volunteer Application Form

Placement Role

To provide safe, ethical, and professional counselling support to clients as part of a supervised student placement.

Organisational Expectations

To work within the policies, procedures, communication systems, and governance expectations of EWECIC, contributing to a safe, reliable, and collaborative therapeutic environment.

Basic Details

First name

Last name

Email

Phone

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Emergency Contact Name

Emergency Contact Phone

Relationship to you:

Placement Readiness

What stage are you currently at in your counselling training?

Have you previously held a counselling placement?

What experience do you have of working with client responsibility, safeguarding, or professional boundaries?

What support structures do you currently have in place for your own wellbeing while training?

What do you feel helps you remain reliable and organised when balancing placement, work, and study commitments?

Do you currently have a supervisor?

Do you currently have professional indemnity insurance?

Yes

No

Which recognised professional body are you registered with?

BACP

NCPS

UKCP

Other

Student placements involve balancing client work, administration, supervision, communication, and organisational processes alongside existing commitments. What has led you to feel that now is the right time to begin placement work?

Availability

Please list all regular availability you are realistically able to offer for client sessions. As a placement setting, client allocation depends on flexibility of availability. Limited availability may impact our ability to allocate suitable clients.

Times

9am - 5pm

5pm - 9pm

Are there any restrictions on your availability that may impact client allocation?

Placement Expectations

Communication: Are you able to regularly monitor and respond to placement-related emails in a timely way?

Yes

No

Other

Caseload Expectations: Are you able to commit to building towards a minimum ongoing caseload of 3 clients where possible?

Yes

No

Other

Are you willing to use Earth Wisdom systems and organisational procedures as required?

Yes

No

Other

Meetings: Are you able to attend required peer support, induction, and placement meetings?

Yes

No

Other

Placement Pathway

At Earth Wisdom, Year 1 placements are primarily focused on core clinical client hours and developing safe, ethical counselling practice.

We also offer an optional second-year pathway involving nature-based practice, community involvement, ecotherapy training, and wider participation within the organisation.

At this stage, how do you currently imagine your placement journey with Earth Wisdom?

Please share any relevant interests or experiences.

I understand the importance of attending and engaging in supervision, peer support, and reflective practice sessions as required by EWECIC, in order to support safe, ethical, and professionally accountable client work.

I understand the importance of working within the policies, procedures, safeguarding expectations, and governance frameworks of EWECIC in order to support a safe, ethical, and professional environment for clients, staff, volunteers, and students.

Do you have a preferred start date?

Do you know someone in our team?

Yes

No

Name & Relationship

To be considered for the voluntary placement you will need to attend an interview. Please share any specific requirements you may have to facilitate your participation in the interview process.

If selected following interview, I acknowledge my responsibility to obtain and maintain professional indemnity insurance and an enhanced DBS certificate, including ensuring these remain valid and up to date as required.

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Earth Wisdom Therapy

Email: info@earthwisdomtherapy.co.uk
Telephone: 07938 386944

Student Counsellor Volunteer

Basic Details

Placement Readiness

Availability

Placement Expectations

Placement Pathway

Earth Wisdom Therapy

Email: info@earthwisdomtherapy.co.uk Telephone: 07938 386944

Student Counsellor Volunteer

Basic Details

Placement Readiness

Availability

Placement Expectations

Placement Pathway

Email: info@earthwisdomtherapy.co.uk
Telephone: 07938 386944