Clinician Application

Thank you for your enquiry about becoming a Vitae Clinician.

Vitae needs to gather sufficient information from you to allow us to assess your suitability  for the role.

Please complete the application form below. When you have completed your responses, please click on submit and make sure your survey is acknowledged on screen.

Please be assured the information collected is confidential.

 Counsellor
 Supervisor
 Drug & Alcohol Assessor
 Careers Practitioner
 Psychologist
 Yes
 No
 Yes
 No
 Yes
 No
Areas of Speciality
Do you have qualifications in the following?(Please list.)
 Yes
 No
 Yes
 No
 Yes
 No
 Yes
 No
 Yes
 No
 Yes
 No