Practitioner Registration

Membership Type

Practitioner

Advanced Practitioner

If other please specify

Summary of experience and qualifications in the field

I agree to AP's Membership Membership Terms and Conditions and Privacy Policy

I confirm I will abide by AP’s Standards of Conduct and Ethics

I confirm and agree that I will undertake and record continuing professional development (CPD) in line with AP’s requirements and will abide by and fully cooperate with AP’s CPD audit procedure

I give my permission to AP to approach other organisations as necessary to establish facts and circumstances should an allegation arise that might result in the breach of AP’s Standards of Conduct and Ethics

Directory Details

As part of membership, your name, region and membership number will appear in our Practitioner Directory. If you would like additional details to show, please complete them below.

For practitioners wanting to use the term ‘counselling/counsellor and/or therapy/therapist’ you will be required to have completed and graduated from a counselling or psychotherapy practitioner training course. Your course must have involved at least 400 hours classroom-based tutor contact. You must also have completed a supervised placement of at least 100 client contact hours as an integral part of your course.

Your placement hours must have been:

carried out with genuine clients, rather than, for example peers from your course
in an appropriate setting with appropriate clients. Counselling services are an ideal setting as they are likely to assess whether clients are suitable for your level of competence. Your training provider should not allow placement hours through private practice or with client groups that have not been pre-assessed as suitable - such as children and young people or those with complex mental health needs.
assessed (or marked) as an integral part of your training
supervised. Supervision is important at all stages of seeing clients.

PLEASE NOTE: Your course must have involved at least 400 hours of classroom-based tutor contact to advertise as a counsellor. Visit our publication policy

About me and my practice

Outline of offer

Experience

Declaration

All applicants must answer each of the questions below. Please note that deliberately false statements will result in non acceptance/cancellation of your membership. If you answer ’yes’ to any questions below please provide additional information. Please note that answering yes to questions in the declaration does not mean you will not be accepted for membership.

1. Do you have a conviction which is not spent under the Rehabilitation of Offenders Act 1974 in the UK, or a conviction in another country which might prejudice the public’s trust in you, your profession or AP if accurately informed about the details?*

Yes

Additional Statement

2. Have you ever been found guilty of a civil offence (with the exception of parking or speeding offences)?*

Yes

Additional Statement

3. Have you ever been refused/expelled from membership of any other professional body/register on the grounds of professional misconduct or other professional related offence?*

Yes

Additional Statement: Please provide brief history including time and outcome

Can you explain in more detail the circumstances/situation which led to the offence/s?*

Has there been a change in your circumstances that is relevant to the conviction, since the offence/s?

How do you feel about the offence/s?

Is there a probation officer assigned to you?*

Is there anything else we would need to consider/you wish to draw to our attention?*

4. Have you ever been the subject of any professionally related disciplinary action?*

Yes

Additional Statement

5. Are you currently/likely to be the subject of any criminal, civil, investigatory or disciplinary proceedings or enquiries?*

Yes

Additional Statement: Please provide brief history including time and outcome

6. Have you ever been, or are you likely to be involved in a situation or incident likely to result in disciplinary action against you as a member of AP?*

Yes

Additional Statement: Please provide brief history including time and outcome

Can you explain in more detail the circumstances/situation which led to the disciplinary action including the outcome and how long ago it was?*

What steps have you put in place to prevent further disciplinary action?

Is there anything else we would need to consider/you wish to draw to our attention?*

Where did you hear about us?

Please specify

Are you a member of another professional/registration body?

Please specify

By submitting this form, you agree with the Addiction Professionals Terms and Conditions and Privacy Policy .

Once you have submitted this form, you will be taken to the payment options page. Payment must be made for your application to be processed.

If you application is successful, we will email you with your membership certificate and details of how to access your complimentary CPD Membership.

If your application is unsuccessful you will receive a full refund.

Please note: In the course of your application for membership and for qualifications we may ask for provision of references and reports from your workplace manager and/or supervisor. We may also ask for evidence of qualifications and membership of other professional bodies and organisations during your membership with AP.

Practitioner Registration

Membership Type

Your details

Directory Details

Declaration

Conviction

Disciplinary