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British Association for Counselling and Psychotherapy www.bacp.co.uk February 2019 Counsellor/Psychotherapist Accreditation Scheme ‘A quality standard for the experienced practitioner who can demonstrate high standards of competent and ethical practice’ Application Pack This pack must be read in conjunction with the Guide to Applying Applications will not be returned after assessment

Counsellor/Psychotherapist · Web viewMaximum word count = 3,000 words in total S ending us your application Please send us: Your original application form, including a completed

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British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

Counsellor/PsychotherapistAccreditation Scheme

‘A quality standard for the experienced practitioner who can demonstrate high standards of competent and ethical practice’

Application Pack

This pack must be read in conjunction with the Guide to Applying

Applications will not be returned after assessmentPlease retain a complete copy for your own records

BACP House, 15 St John's Business Park, Lutterworth LE17 4HB, Tel: 01455 883300, Fax: 01455 550243, Minicom: 01455 550307

Company limited by guarantee 2175320 Registered in England &

Wales. Registered Charity 298361

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

Standard for Accreditation‘A quality standard for the experienced practitioner who can demonstrate

high standards of competent and ethical practice’

You can apply for accreditation if you provide counselling or psychotherapy to individual people, couples, children and young people, groups or families and can provide satisfactory evidence to meet all Criteria 1 to 9

Criteria for applicationEligibility Criteria 1-4When you apply and throughout the assessment process, you must be:

1. A registered member of BACP2. Criteria removed – no longer required

When you submit your application you must be:

3. Practising as a counsellor and/or psychotherapist 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

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

5. Supervision

You have an ongoing current contract for counselling/psychotherapy supervision for a minimum of 1½ hours per month. For all practice submitted you must be able to demonstrate you had supervision arrangements for a minimum of 1½ hours per month.

Reflective Practice Criteria 6-96. Continuing Professional Development (CPD)

6.1 Describe one CPD activity, relevant to your area of practice, detailing what the activity is, that you have undertaken in the 12 months before applying for accreditation

6.2 Provide reason(s) for choosing the activity with reference to your practice6.3 Show how the activity has influenced your practice

7. Self-awareness

7.1 Describe an experience or an activity which has contributed to your own self-awareness

7.2 Provide a reason(s) for choosing the experience or activity 7.3 Show how you use this self-awareness in your practice

8. Knowledge and understanding

8.1 Describe a rationale for all your client work with reference to the theory / theories that inform all your practice.

8.2 Describe the place of your self-awareness within your way of working 8.3 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 relationship9.3 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 the Counselling Professions

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 download an application pack, visit Accreditation at www.bacp.co.u k /accreditation

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

Accreditation eligibility checklist

Criteria or

1Am I a registered member of BACP?

Will I remain so for the duration of the assessment process?

2 Criteria removed – no longer required

3 Am I currently in practice as a counsellor and/or psychotherapist and will remain so for the duration of this application

4.1

Have I have been awarded a qualification from a BACP accredited training courseHave I had a minimum of 450 hours of supervised practice?

With a minimum of 150 practice hours post-training?

Gained over a minimum of three and a maximum of six years?

Supervised to a minimum of 1.5 hours per month?

Or

4.2

Have I successfully completed practitioner training of a minimum of 450 taught contact hours?Over not less than two years part-time or one year full-time?In addition to the 450 taught hours, had an integral supervised placement?Did the training include theory, skills, professional issues and personal development?Have I had a minimum of 450 hours of supervised practice?

With a minimum of 150 practice hours post-training?

Gained over a minimum of three and a maximum of six years?

Supervised to a minimum of 1.5 hours per month?

5Do I have a contract for counselling supervision for a minimum of 1.5 hours per month, for each month in which practice was undertaken?

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

Application FormPart A – Your details

BACP member number: 0 0

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

When did you first start to practise as a counsellor/psychotherapist?

New interactive Accreditation Resources are available to help you understand the requirements and assist you through our accreditation process. These resources are free to access at www.bacp.co.uk/accreditation

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

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

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:

Do you understand that you must remain a Registered Member in order to submit your application? Yes No

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

Part D – Current practice Please delete Yes or No to leave the correct answer showing: Are you currently in practice as a counsellor/psychotherapist and will remain so until you receive your decision? Yes 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)

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

BACP Fair Processing NoticeBACP is committed to complying with the GDPR and the DPA 2018. We only use the information you give us for the purposes specified on this form and laid out in detail in the BACP Privacy Notice. We will only hold the information for as long as we need it to carry out the task for which it was given. You have rights under current legislation to limit or prevent the processing of your data and to have access to this information. We never sell your personal information to third-parties but may need to share your details with suppliers who work on our behalf. To find out more about how we use your personal data, any third-parties we may share it with and your rights in relation to it, see our privacy notice at https://www.bacp.co.uk/privacy-notice/

Declaration of HonestyI 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.

Applicant’s Signature:

Date:

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

Part E – Diary of 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 PracticeClient Details: P (50,M), Q (19,F)Date Session

No.Client

Length (mins)

Main concerns of session

02.04.2012

31 P 50 Feels hopeless and helpless about his marriage

09.04.2012

32 P 50 Expectations about marriage, memories of parents’ marriage

13.04.2012

33 P 50 Deeper look at relationship with mother

12.04.2012

5 Q 50 Looking back over first week of ‘food diary’

19.04.2012

6 Q 50 ‘Going backwards’ and feeling out of control

Type: couple work, private practiceClient Details: X (36, F) + Y (39,M)Date Session

No.Client

Length (mins)

Main concerns of session

02.04.2012

10 X, Y - DNA

50 Y is ill. X feels happier about Y’s job, taking night classes

09.04.2012

11 P 50 Talking about ending

Type: family therapy, ABC Counselling AgencyClient Details: A (41, M) + (B43, F) + C (13, M) + D (12,F)Date Session

No.Client

Length (mins)

Main concerns of session

01.04.2012

9 All 60 Beginning to talk about ending

08.04.2012

10 All 60 Agreed ending in two weeks

15.04.2012

11 A + B 60 Parents only scheduled to attend, beginning to end

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

22.04.2012

12 All 60 Final session

Group work can be shown in the same way as the family therapy example above

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

Part E – Diary of Current practice

Type: Client Details:

Date Session No.

Client

Length (mins) Main concerns of session

Type: Client Details:

Date Session No.

Client

Length (mins) Main concerns of session

Type: Client Details:

Date Session No.

Client

Length (mins) Main concerns of session

Type: Client Details:

Date Session No.

Client

Length (mins) Main concerns of session

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

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.

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

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:

See the Guide to Applying section on ‘your training’ for more information

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

Part F: 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 practice setting within any 12 month period. 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 and submit a completed ‘Part H’ for each arrangement.

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

Hours of practice during period

How many are post-training practice hours?

Number of

months practiced

in this period

Have you included

supervision details for

this practice?(Part H)

From:01/01/07To:31/12/07

Addiction counsellor at ABC agency, Luton

100 0 10 Y

From01/01/10To: 31/12/10

Addiction counsellor at ABC agency, Luton

100 60 10 Y

From:06/04/13To: 05/04/14

Counsellor of patients, consulting room at Glendale Surgery, Bristol.

150 150 10 Y

From:06/09/14To:05/09/15

Own private counselling practice, 28 The Elms, Bristol

73 73 8 Y

From:06/09/15To:05/05/16

Own private counselling practice, 28 The Elms, Bristol

162 162 8 Y

Please give totals for these two columns:

585 445

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

Part F: Practice submitted under Criterion 4.1

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 post-training practice hours?

Number of months

practiced in this period

Have you included

supervision details for this

practice?(Part H)

From:

To:

Y/N

From:

To:

Y/N

From:

To:

Y/N

From:

To:

Y/N

From:

To:

Y/N

Please give totals for these two columns:

Now go to Part H: Supervision of Practice

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

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 copy this form and complete 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 certificate.

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 copies of your award from each 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:

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

Part G: continued

Please provide a breakdown of the 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:

Theory:

Skills:

Professional Issues:

Personal Development:

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

Part G: 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. 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 practice setting within any 12 month period. 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 and submit a completed ‘Part H’ for each arrangement.

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

Hours of practice during period

How many are post-training practice hours?

Number of

months practiced

in this period

Have you included

supervision details for

this practice?(Part H)

From:01/01/07To:31/12/07

Addiction counsellor at ABC agency, Luton

100 0 10 Y

From01/01/10To: 31/12/10

Addiction counsellor at ABC agency, Luton

100 60 10 Y

From:06/04/13To: 05/04/14

Counsellor of patients, consulting room at Glendale Surgery, Bristol.

150 150 10 Y

From:06/09/14To:05/09/15

Own private counselling practice, 28 The Elms, Bristol

73 73 8 Y

From:06/09/15To:05/05/16

Own private counselling practice, 28 The Elms, Bristol

162 162 8 Y

Please give totals for these two columns:

585 445

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

Part G: Practice submitted under Criterion 4.2

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 post-training practice hours?

Number of months

practiced in this period

Have you included

supervision details for this

practice?(Part H)

From:

To:

Y/N

From:

To:

Y/N

From:

To:

Y/N

From:

To:

Y/N

From:

To:

Y/N

Please give totals for these two columns:

Now go to Part H: Supervision of Practice

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

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 and ongoing 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 or for any amendments to your contract. 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. If you have a dual relationship with your supervisor, for example if your supervisor is also your line manager, you need to tell us about the arrangements for additional supervision which you have put in place.

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

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

Part H: 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 still current, write ‘ongoing’.)

Contracted frequency of supervised sessions: weekly / fortnightly / monthly(Delete as appropriate)

Contracted length of each session:

Which practice(s) 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? For example, if your supervisor is also your line manager you need to tell us about the arrangements for additional supervision which you have put in place.

Yes No

If yes, please explain:

Did this Supervisor supervise the case material you have used for Criterion 9? Yes No

See the Guide to Applying section on ‘Supervision’ for more information

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

Part H: Peer or Group supervision arrangements

Please complete a copy of this sheet for each peer or group supervision arrangementSupervisor’s name or contact name for peer supervision group:

Supervisor’s address or peer supervision group contact address (for above):

Postcode:

Supervisor’s Qualification/s:

Are you telling us about group or peer supervision?

Contract start date: End date: (If still current, write ‘ongoing’)

Contracted frequency of supervised sessions: weekly / fortnightly / monthly (Delete as appropriate)

Contracted length of each session:

How many people are contracted to attend 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? For example, if your supervisor is also your line manager you need to tell us about the arrangements for additional supervision which you have put in place.

Yes No

If yes, please explain:

Did this Supervisor supervise the case material you have used for Criterion 9?

Yes No

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

See the Guide to Applying section on ‘Supervision’ for more information

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

Criteria 6, 7, 8 & 9: Reflective PracticeAll 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 individual sub 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 and do not exceed the count given. These are detailed below. You must show the word count at the end of your piece of work for each of the criterion below.

Further information on these criteria is available in the Guide to Applying

Criteria 6: Continuing Professional Development - CPDThis 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, detailing what the activity is, that you have undertaken in the 12 months before applying for accreditation. Please state clearly the date/date range 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 in total

Criteria 7: Self-AwarenessThis 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 self-awareness.

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 in total

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

Criteria 8: Knowledge and UnderstandingThis 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 = 1400 words in total

Criteria 9: Practice and 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.

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 relationship9.3 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 the Counselling Professions

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 Describing the awareness you have gained through reflection in and on supervision

9.6 Showing how you apply that awareness in your practice

Maximum word count = 3,000 words in total

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

Sending us your application

Please send us:

Your original application form, including a completed Supervisor Report signed by both yourself and your supervisor and copies of your award certificates where necessary.

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 (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 by email that we have received your application. Please be aware that due to the robustness of the process it can take up to four months to receive a decisionYou must arrange for your Proposer to fill in their report and send it to us separately, to arrive at the same time as your application, but not with 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 TeamBritish Association for Counselling and PsychotherapyBACP House15 St John's Business ParkLutterworthLeicestershire, LE17 4HB

*This fee is correct at 1 April 2017

*From time to time we review our fees, please check the website or call us to find out the current fee.

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

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 applicant’s 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.

We may contact you as part of the assessment procedure.BACP Fair Processing Notice

BACP is committed to complying with the GDPR and the DPA 2018. We only use the information you give us for the purposes specified on this form and laid out in detail in the BACP Privacy Notice. We will only hold the information for as long as we need it to carry out the task for which it was given. You have rights under current legislation to limit or prevent the processing of your data and to have access to this information. We never sell your personal information to third-parties but may need to share your details with suppliers who work on our behalf. To find out more about how we use your personal data, any third-parties we may share it with and your rights in relation to it, see our privacy notice at https://www.bacp.co.uk/privacy-notice/

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

BACP House, 15 St John's Business Park, Lutterworth LE17 4HB, Tel: 01455 883300, Fax: 01455 550243, Minicom: 01455 550307

Company limited by guarantee 2175320 Registered in England &

WalesRegistered Charity 298361

British Association for Counselling and Psychotherapywww.bacp.co.ukFebruary 2019

Supervisor ReportPart A: Applicant’s details

Accreditation applicant’s name:

Applicant’s membership number:

Part B: Supervisor’s 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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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 still current, write ‘on-

going’.)

Contracted frequency of sessions: weekly / fortnightly / monthly(Delete as appropriate)

Contracted length of sessions:

Peer supervision How many peer members are there?

Contract start date: End date: (If still current, write ‘on-going’.)

Contracted frequency of sessions: weekly / fortnightly / monthly(Delete as appropriate)

Contracted length of sessions:

Group supervision How many supervisees are contracted to attend 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: weekly / fortnightly / monthly(Delete as appropriate)

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Contracted length of sessions:

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Supervisor Report – continued

Part D: Supervisor Declaration

Please tick the appropriate box and complete as applicable:

I have supervised all the case material (criterion 9) that the applicant has provided for this application

or

I have supervised part of the case material (criterion 9) that the applicant has provided in this application

Please state which part:

or

I did not supervise any of the case material (criterion 9) 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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Supervisor Report – continuedWhat is the Applicant’s understanding of the BACP Ethical Framework for the Counselling Professions?

How does the applicant’s work reflect his or her awareness of the BACP Ethical Framework for the Counselling Professions?

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Supervisor Report – continuedPlease 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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Supervisor Report – continuedWhat action would you 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 penned signatures)Applicant’s signature: Date:

Supervisor’s signature: Date:

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Guidance for the ProposerGive this sheet to your Proposer with the Proposer Statement

As part of your application, you need to provide a completed Proposer Statement from another professional. Your proposer must be someone who can comment on your current work as a counsellor/psychotherapist. They don’t have to be a therapist themselves but should have knowledge of the profession and/or be qualified or working in a related profession. The Proposer should be an independent person who knows you well enough and knows the counselling psychotherapy profession well enough to be able to comment on your suitability for accreditation by the professional body.Your application can not be processed without a Proposer Statement as this a requirement that contributes to the evidence of your eligibility to apply for accreditation. The ethical reasons for its requirement, is that it will confirm that you will maintain a professional standard of integrity in dealing with both clients and colleagues.The Proposer Statement is confidential. It will not be sent back to the applicant, rather it will be sent to BACP directly and independently of the application form.

A Proposer should know you and your work as a counsellor/psychotherapist well enough to confirm that you are: A responsible person Someone who maintains a professional standard of integrity Someone who is of good standing within their professionThe Proposer’s signature on the form shows that they support your application to become a BACP accredited counsellor or psychotherapist. Your Proposer could be any of the following:

Your line manager or a former supervisor; someone from your professional network or a fellow counsellor who have knowledge of your current work; fellow counsellor/supervisee in your supervision group; someone you may have completed training with (a fellow course member) with whom you have kept in touch and who knows something of your current counselling practice; a GP from a practice where you work as a counsellor or who refers clients to your practice. This is not an exhaustive list.Your Proposer should not be a current or former client or your main supervisor (the person who has written your supervision report and supervised your case material for criteria 9 of the Reflective Practice section). If you have a second, or group/peer supervisor and they have not written your supervision report or supervised the case material used in your application for accreditation, then they can be your proposer.Please send your completed Statement direct to Accreditation at the address shown at the end of the Statement.If you have any questions about completing your Statement, please phone us on 01455 883300BACP Fair Processing Notice

BACP is committed to complying with the GDPR and the DPA 2018. We only use the information you give us for the purposes specified on this form and laid out in detail in the BACP Privacy Notice. We will only hold the information for as long as we need it to carry out the task for which it was given. You have rights under current legislation to limit or prevent the processing of your data and to have access to this information. We never sell your personal information to

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third-parties but may need to share your details with suppliers who work on our behalf. To find out more about how we use your personal data, any third-parties we may share it with and your rights in relation to it, see our privacy notice at https://www.bacp.co.uk/privacy-notice/

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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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Proposer Statement – continuedThe 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:

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.

AccreditationBritish Association for Counselling and PsychotherapyBACP House15 St John's Business ParkLutterworthLeicestershire, LE17 4HB

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Card Payment Slip

If you would like 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 application.

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:

BACP Member Number: Fee payable: £

What is the card type?

Maestro / Switch Mastercard Visa

Card number: Expiry date Issue No

(Issue no. for Maestro/Switch only)

Name as it appears on card:

Card security number: (the 3-digit number by the signature strip)

Billing address house number:

Billing address postcode:

BACP House, 15 St John’s Business Park, LutterworthLE17 4HB, Tel: 01455 883300, Fax: 01455 550243, Minicom: 01455 550307

Company limited by guarantee 217320Registered in England & Wales

Registered Charity 298361

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