Application form for clinicians/therapists

Once your form has been processed and your membership fee has been received, your details will be added to the CTRN UK map on our website.

When someone is looking for professional support or for organisations that are trauma-informed, they can type in their location and the nearest members will pop up on the map.

Please note that we will respond to your application within 2 weeks

Please note that CTRN UK does not recommend any members, and cannot be held liable for the advice, practice or training that members provide.

Name

First Name

Last Name

Professional Title

Location

Please list the City/ Cities/ Town would you want to be listed on the map as working in

Website

http://

Best way of contact

Phone number

Would you like your email address to be included on the CTRN map?

Qualifications

Trauma training dates and trainer name

What is your regulating board?

Trainees (if applicable)

Please state your training course and year of study

I work with:

Children under 11

Children 11+

Young people 12-18

Young adults

Adults

Please confirm

I apply to be a part of CTRN to be signposted to help children, young people and families recover from trauma. I understand I am not being recommended or accredited by CTRN but signposting.

Please confirm

I understand I will receive an email regarding the £20 payment for the annual membership fee in the next couple of weeks, and confirm I will make this payment within 30 days; once received, I understand my details will then be added to the website.

I confirm that I have read and agree to the terms of the privacy statement on the CTRN website and understand the information will be processed and displayed publicly on this website as per approval of membership