One Day Launch Application Form

Step 1 of 7

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Name

First Last

Enter Email Confirm Email

Phone

Address

Street Address Address Line 2 City County Post Code

Professional Background

Current Occupation/Profession Title

Years of Experience in Therapy/Counseling

Professional License Number (if applicable)

Brief Career Overview

Qualifications in Therapy/Counseling - Please list

Why have you decided to start a private practice?

What are your primary goals for your private practice?

What type of clients do you most want to support?

How many days/ hours would you like to work in a week?

What would your ideal week look like?

What would you like to earn in the first year?

Have you ever operated or managed a business before? If yes, please provide details:

When would you like to have the launch day?

What challenges do you anticipate in launching your private practice?

How do you plan to address these challenges?

What would do you think you most need help with?

Is there any other relevant information you would like to share with your application?

How did you hear about the programme?

Are you familiar with Sophie's and Sarah’s work?

Would you like any other information or have any questions?

I confirm that the information provided in this application is true and accurate to the best of my knowledge.

I understand that submission of this application does not guarantee acceptance into the program.

Signature

Comments

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