The Society for Holistic Therapists and Coaches©

Application form for membership of the Society for Holistic Therapists and Coaches

This form should be printed, and returned to the Society with your signature and copies of relevant qualification and insurance forms. Successful applicants will be sent their membership certificate
if they have enclosed insurance documentation. Uninsured applicants will be initially sent a professional membership letter confirming membership at the appropriate grade subject to insurance within 28 days. This can be used in insurance applications. On receipt of insurance documentation a membership
certificate can then be issued to the member.

First Name(s).................................................................................................................

Surname........................................................................... Initials ...................................

Date of Birth ....................................... Gender .................... Title .................................

Address (not published online or shared externally)

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............................................................... Tel ............................ Fax ..............................

Mobile ............................... Email................................... Website ...................................

Profession / Job Title: (Student, Therapist, Healer etc) .......................................................

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Areas of competence: ( Therapy area, qualification, level , awarding body)

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Continue on separate page if necessary.

Additional areas of experience
(Other employment, independently accredited awards, unassessed training)

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Continue on separate page if necessary, or attach curriculum vitae

Years of professional experience, attaching evidence in the form of copies of professional
registration certificates or insurance documents for that time period.

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Years since completing qualifications accredited by a QCA / SQA approved awarding body /
Degree / NVQ / SNVQ.

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You must attach copies of your accredited award. (Unless applying via your awarding body / accredited training centre, in which case ensure the following section in italics is completed by that training body.

Award name............................................... Accredited body ..............................................

College Stamp ............................................ Date of Award ................................................

Contact details for college tutor / principle for verification. .....................................................

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College name, and accredited centre number / details ............................................................

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Level of membership being applied for: Student / Associate / Full (delete as appropriate)

Student members: Anyone currently on or beginning a suitably accredited course.

Associate members of the SHTC (ASHTC) have Level 3 awards, and are offered additional support to ensure competent service provision.
NEW: If you are a a graduate of a course that since your time of graduation has received accreditation at level 3 or 4, you will be accepted as an associate member. For example graduates of a course that since that time, and without substantial course change has now attained an ASET level 3 or 4 award, will be accepted as if they have an ASET level 3 award. This only applies where the course is essentially the same course pre and post accreditation.

Full members of the SHTC (MSHTC) have Level 4 or 5 awards or appropriate degrees, or have Level 3 awards with five years of post qualification experience.

Fellowships are only awarded to existing members who meet additional criteria.

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Other professional bodies or memberships:

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Continue on separate sheet if necessary.

If you wish you may provide details of any disabilities or additional needs that you have, that we may be able to support you with. This information will not be shared with any outside agency, and will be used only by the Society. This information is only used in order to ensure appropriate support for you. If you prefer, the disabilities officer can contact you for an informal discussion instead of providing details below.

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Would you like to be contacted by our disabilities officer to discuss the above, or simply to enable support when you need it? Yes / No (delete as appropriate)

Declaration, please read carefully and keep a copy of this application for your records.

In applying for membership to the Society for Holistic Therapists and Coaches I (the applicant) agree to adhere to the code of ethics and the National Occupational Standards for the therapy or therapies I offer. I also agree to be subject to the disciplinary procedure of the Society. I understand that only Fellows, Advisory Board members and Emeritus Fellows have voting rights, although from time to time the Society may canvass my opinion in regard to decision making. I understand that I must maintain professional insurance at an appropriate level, and must inform the Society in writing if there is any complaint against me or claim on my insurance policy. In applying for membership I agree to disclose any previous complaint against me (as defined in the complaints procedure) and any criminal convictions as follows:
- Any unspent criminal conviction
- Any registration on the sex offenders register
- Any ongoing criminal investigation
We will absolutely respect your right of confidence, and will not discriminate against ex offenders under the rehabilitation of offenders act, except where other legislation such as the Childrens Act require us to refuse membership.
In applying for membership I also testify that I am of sufficiently sound (or appropriately managed) health mentally, physically and spiritually as to not to pose a threat or risk to clients as defined in the appropriate sections of the National Occupations Standards for the appropriate therapy / therapies.
We actively support and encourage members who have disabilities and or special / additional needs in their professional practice and do not discriminate against people with such restrictions.
I understand that I am liable for my own adherence to UK Law in regard to ongoing legislation, taxation, keeping of taxation records, trading and advertising standards and other applicable laws and rules.

Signed: (applicant).......................................................... Date.........................................

You are advised to take a copy of this document before mailing. You are also advised to send your application using a certificate of posting (free of charge) or by registered / recorded post. Please enclose the appropriate membership fee with your application.

Post to:
Society Holistic Therapists & Coaches
SHTC
PO BOX 23876
Edinburgh
EH5 1WQ

Tel 0845 833 2547
Telephone enquiries to Stuart
Cheques made payable to "MORGAN-AYRS"

PLEASE WRITE THE SENDERS ADDRESS ON THE REVERSE OF THE ENVELOPE IN CASE OF THE PACKAGE BEING MISDIRECTED OR DAMAGED ON THE WAY.

A downloadable "MS-WORD" format file available to download HERE (right click and select "save")

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