Counsellor Application

Step 1:
Please email a copy of your CV to enquiries@stratos-ltd.co.nz

Step 2:
Please complete the form below if you are interested in working with the Stratos Employee Assistance Programme.

This programme is for New Zealand and Australian residents only.

PLEASE NOTE THAT THIS APPLICATION IS NOT CURRENTLY CONFIGURED FOR MOBILE DEVICES AND/OR TABLETS.  ALL APPLICATIONS MUST BE COMPLETED ON A "NORMAL" COMPUTER.  THANKS

If you are interested in becoming part of the Stratos network we would be keen to talk with you. 


Our requirements are:

  • A relevant tertiary qualification
  • Membership of NZAC or a registered psychologist or registered psychotherapist
  • At least six years’ counselling experience
  • Professional indemnity insurance
  • Regular professional supervision
  • Access to the internet
  • Able to respond to phone calls within four hours
  • Can offer a counselling session within five working days
  • Suitable counselling rooms
  • Ability to deal with a range of presenting issues
  • Comfort with short term counselling

If you would like more information call us
0800 STRATOS (787 2867)

Name *
Telephone (Home)
Telephone (Work) *
Mobile
Email

Address - home:
Home Number & Street
Home Suburb
Home Town/City
Home Country *

Address - Postal:
Postal Number & Street
Postal Suburb
Postal Town/City
Post Code *
Postal Country

Address - Counselling rooms:
Number & Street
Suburb
Town/City
Country

1. Counselling experience in years
2. Qualifications
3. Memberships / Professional Associations
4. Which geographical area are you able to cover
5. What specific training have you had in Assessment procedures? (Briefly describe your methods of assessment)
6. Have you had any training in psychopathology? Yes
No
If yes, please expand on training
7. What experience do you have in working with people who have mental health difficulties?
8. Do you have any training in Drug and Alcohol Assessment tools? Yes
No
If yes , please expand on training
9. What experience do you have in working with people who have drug and/or alcohol problems?
10. What networks do you have to which you can refer clients?
11. Which areas of counselling do you believe you have experience in? (e.g. family/relationship/alcohol and drug etc)
What experience do you have in counselling for cancer or life threatening illness?
12. Work Experience (brief)
13. Have you ever had a complaint laid against you with your professional counselling body? Yes
No
If yes, was the complaint and what action was taken by your Professional Body?
14. Hourly Rate
GST Registered? Yes
No
15. Do you have indemnity insurance?
If yes, with who is the insurance cover?
16. Referees
Referee 1
Referee 1 Phone
Referee 2
Referee 2 Phone
Referee 3
Referee 3 Phone
17. Do you have regular supervision? Yes
No
If you answered yes to the above question, how regularly do you receive supervision? Fortnightly
Monthly
Bi-Monthly
Other
If Other, please specify
Please provide your supervisor's name
18. Name of your organisation
19.  Days available for counselling (tick all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
20. Are you able to answer phone messages within 4 hours? Yes
No
21. Are you able to see clients within 5 days and urgent clients within 24 hours? Yes
No
22. Do your rooms have wheelchair access? Yes
No
23. How did you find out about us?
24.Do you work for any other EAP providers? Yes
No
If so, please provide details:
25. Other comments
If you require any further information about this form, please contact Stratos Ltd on Ph +64 9 538 0261 or Fax +64 9 538 0260