Booking Form — Resolve Trauma Collective

Help us get to know you by filling out this form. Please be patient with this worthwhile process as we aim to respond within 1-3 business days. If you have questions, or have not received a response, email book@resolvetraumacollective.com

Please note by filling out this form you consent for your information to be shared with any member of our tea, as well as our trusted external providers in independent practice.

Name of Applicant *

Current Qualifications *

Please check all the apply.

Canadian Certified Counsellor

Registered Clinical Counsellor

Pre-Registered Clinician (Completed Practicum Hours, Awaiting Registration)

Practicum Student

Other Professional Membership

Email *

Phone

To contact you fastest, please include a mobile phone that you are okay w/ us leaving a message on.

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City, Province/State, Country *

Services Offered *

Please check all that apply.

Individual

Couples

Family

Group

What ages do you provide support for?

Please check all that apply.

Children (0-12)

Youth (13-17)

Adults (18+)

What are your specialty areas in terms of areas of focus? *

What areas of focus are you passionate about working with? What areas are you interested in gaining more experience in? What areas do you thrive in?

Please describe your approach to counselling. *

What kind of therapeutic modalities serve as a foundation to your work? What modalities are you hoping to learn more about in the future? How do you like to work with your clients?

Please describe your current understanding and positioning around Harm Reduction. *

What is your current understanding of intersectionality and how do you implement that into your work? *

Tell us about your past and current experience working in the counselling field. *

What areas and settings have you worked in before? How has it changed over time? Are there any areas you are hoping to learn more about in the future?

What areas/populations do you not work in or with? *

Tell us about your boundaries (types of clients, areas of focus, family situations).

What draws you to apply to join our collective? *

Is there anything else you would like to share with us to give us a better picture of who you are as a counsellor?

Thank you!

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info@resolvetraumacollective.com
(604) 337-6577
#321 / 9440 202 Street - Langley, BC
#300 / 3665 Kingsway - Vancouver, BC
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Resolve Trauma Collective acknowledges the traditional, unceded, and rightful territories of the Coast Salish, səl̓ilwətaɁɬ təməxʷ (Tsleil-Waututh), S’ólh Téméxw (Stó:lō), šxʷməθkʷəy̓əmaɁɬ təməxʷ (Musqueam), Semiahmoo, sq̓əc̓iy̓aɁɬ təməxʷ (Katzie), sc̓əwaθenaɁɬ təməxʷ (Tsawwassen), and Kwantlen First Nations in which we learning, growing, and working on today.

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