Associate Application Form Change Ahead is expanding after over a decade, I am so excited that I have chosen to extend Change Ahead professional arms to become an international family of leading Health Practitioners, Therapists and Consultants who help every aspect of Health.This way we can truly offer a unique framework with vast experience around Health whether chronic or acute, physical and mental. Offering a vast choice and guidance for the client.If you truly love what you do and love to see clients benefit. You wish a steady flow of clients. You wish to be part of a professional organisation that you are proud of. You wish to still be self employed and not worry about marketing, or finding the next client. Change Ahead is now set up to be fully GDPR compliant, offers a library of resources, such as homework for clients and new ways of thinking. Monthly mentoring. CRM. Spaces are limited to be part of this ever growing family then please fill out this form and click submit.Please do not apply if you think that being nice and have good intentions is a good thing for a therapist.Personal InformationName MrMrsMissMsDrProf.Rev. Title First Last Email PhoneAddress Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Please explain why you would like to join, what experience in your specialist are you you have and what other skills you will bring to this role. Think about what you could contribute to Change Ahead AssociatesYour QualificationsPlease list your formal qualificationsUpload your certification Drop files here or List your insurance coverUpload a copy of your policy Drop files here or What do you currently charge per session?How long are your sessions?Do you offer packages?What is your niche?Who or what triggers you still and/or who are you not comfortable working with?Are you prepared to accept a share that part of ourselves in the work that you will do?Your Employment ExperienceSubmit 2 case study that corresponds with your nicheCase Study 1Case Study 2You will be required to comply with the following:Change Ahead Ass Code of Conduct, Ethics and PerformanceChange Ahead Ass Continuing Professional Development (CPD) PolicyPolicy to provide copies of insurance certificate and cpd logChange Ahead Ass Data Protection PolicyTerms of use of the Change Ahead websiteSafe GuardingPrivacy AgreementHow we use your informationChange Ahead treat all of its legal and compliance obligations with the utmost importance and it is Change Aheads policy to comply with applicable Data Protection and Privacy laws and regulations. Change Ahead understands the importance of safeguarding the confidentiality, security and integrity of the personal information submitted via this site. Change Ahead uses only Personal information (including sensitive information) needed, for the purpose of processing your application for employment to verify whether you have the professional skills and experience for the concerned job and to make any verifications required by UK law. We will undertake on-line candidate or face to face selection assessments, people screening vetting including, but not limited to, credit reference and criminal record checks (for some roles), address verification, academic qualifications and employer references with local regulation and legislation. Please note that verifications may vary from one country to another.If you are unsuccessful in your application, Change Ahead may retain your information in our Talent pool for a period of twelve months. If you object to your data being held in our Talent pool please advise us in writing by sending an email to penny@changeahead.biz.For the purposes of meeting our national and international recruitment needs and to prevent fraud, we may share your information with service providers within the group, which will process the information solely and only, for the above purposes. These Change Ahead entities and service providers may be located within, and outside of the European Union in countries which may not have the same Data Protection laws as those within the European Union. However, where such transfers do occur Change Ahead ensures necessary steps to safeguard the security and integrity of your information and ensures it is processed to a standard commensurate with the requirements within these jurisdictions.You acknowledge your understanding that in submitting this application, Change Ahead may check publicly available sources such as LinkedIn or similar sites with professional purposes for information regarding your skills, experience or qualifications.By choosing 'I accept' below, you are agreeing to your information being held and used as described above.If for any reason your personal data held here is incomplete or inaccurate or if you object, on a legitimate ground, to the use of your personal data on this system, you can make request for the amendment, or the deletion of your personal data. If you would like to make such a request or if you have any question in relation to the above, please send an email penny@changeahead.biz.I AcceptYesNo