Apply for Registered Membership Apply for Registered Membership Account details First name * Last name Email * Enter Email Confirm Email * Confirm Email Username * Password * Requirements: at least 8 characters, at least one lowercase letter, one uppercase letter, one number, one character Contact details Address * Postcode * Phone * Leave no gaps Professional details Your Profession / Job title * Details of your registration, accreditation or charter to practice * Registration/Membership Number * Please give details of your Professional Indemnity Insurer: * Declarations I have no pending criminal case or unspent convictions that relate to my therapeutic work * True I have not been found guilty of a breach of the Ethical framework of my governing body * True I receive regular supervision in accordance with my professional body for counselling & psychotherapy * True I understand that the information I have provided may be used to validate my declared status as a practitioner. I declare that information given in this application is true to the best of my knowledge and belief. I also declare that I will not misuse my status as a member of SWACP and I agree that I will not advertise or otherwise use my membership of SWACP in any capacity without the express permission of the assocation. * Yes reCAPTCHA Submit
