Affiliate Enquiry Your Name: Name: * Telephone number: Telephone number: * Email Address: Email address: * Postcode where you see clients: Postcode(s) where you see clients: * Specialisms: Specialisms: * Are you accredited or working towards accreditation? Are you accredited or working towards accreditation? * - Select -YesNo Which accredited membership body are you a member of? Please also supply your membership No. Which accredited membership body are you a member of? Please also supply your membership No. * WSM pays affiliate counsellors £40 per session. Are you happy with this? WSM pays affiliate counsellors £40 per session. Are you happy with this? * - Select -YesNo Do you have anything else you’d like to add? Do you have anything else you’d like to add? * Please upload your CV, indemnity insurance and qualifications certificates and proof of accreditation.
