Applications – Oakhill Counselling & Mediation Services

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

Email *

Position Applying For *

Upload your resume in word or pdf here or complete the sections below:

Employment History

Employer Name #1

From/To (mmm-yyyy)

Job Title

Job duties

Employer Name #2

From/To (mmm-yyyy)

Job Title

Job duties

Reason for leaving

Employer Name #3

From/To (mmm-yyyy)

Job Title

Job duties

Education

Name of Institution #1

Name of Program

Did you graduate?

Yes
No
Current student

What certification did or will you achieve?

Other (please specify)

Name of Institution #2

Name of Program

Did you graduate?

Yes
No

If yes, please select:

Other (please specify)

Professional Accreditation

BC Psychological Association (RPsych)
BC Association of Clinical Counsellors (RCC)
BC College of Social Workers (RSW)
Canadian Counselling and Psychtherapy Association (CCC)
Mediate BC

Registration number

Other accreditation (please specify)

Other Education/Training

Please tell us about any special training you have (for example, EMDR, play therapy, advanced Microsoft, bookkeeping, etc)

Is there anything else we should know? (For example professional development certificates, presentations you've made, volunteer work, etc)

Thank you for your interest in Oakhill Counselling and Mediation Services. We look forward to connecting with you.