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British Association of Play Therapists

Application to become a BAPT Approved Play Therapy Supervisor

Applications are welcome from Qualified Play Therapist’s with a minimum of 3 years post qualifying clinical practice experience.

In order to process all Approved Play Therapy Supervisor applications, BAPT requires applicants to complete and return this form, together with 2 completed reference forms The reference form is attached to the bottom of this application, please either print it off or attach to an email and arrange for your referees to complete one each.

There is a one-off administration fee of £30, payable on application.

Please answer all of the following questions. The form should not be handwritten

Your Name:
Gender: / Female / Male
Contact Address:
Postcode:
Telephone No:
Fax No:
Email Address:
BAPT Membership No. if
Applicable:
How long have you been a Fully Qualified Play Therapist?

Please confirm details of your Play Therapy Qualification.

Which PSA Accredited Register

are you registered with as a Play Therapist?

Please list your Professional Qualifications below:

Qualification / University/College / Dates / Awarding Body
From / To

Where have you worked as a Play Therapist?

(attach extra sheets if required)

Dates / Employer / Job Title / Main Responsibilities
From / To

What is your training experience as a Supervisor?

What approach to supervision do you use?

What are your expectations of your supervisee?

How do you view your accountability to:

The Supervisee?
The Supervisee’s Line Manager?
The Child?

What records do you keep of your supervision?

What is your availability to supervise?

Regional Location:
(what region would you consider yourself working in – please choose one) / London / North East
South East / North Wales
South West / South Wales
Midlands/East Anglia / Scottish Lowlands
North West / Scottish Highlands
Northern Ireland / Ireland/Outside UK
Area(s) you work in:
(what specific areas do your supervisees come from? Please state specific city boroughs areas/counties)
Venue used for Supervision:
(please give details)
Theoretical approach to Supervision:
Type of Supervision: / Individual Supervision only
Group Supervision only
Individual and Group Supervision
What fees do you charge?
(please include details of any reduced fees for Students):
What arrangements do you have for the Supervision of your Supervision?

Please give details of the following 2 referencesAND ATTACH COMPLETED REFERENCE FORMS FROM EACH OF YOUR REFEREE’S:

REFERENCE 1: SUPERVISEE
(a person who can comment on your skills as a Supervisor) / REFERENCE 2: PLAY THERAPY PRACTICE
(This must be your Clinical Supervisor, who can comment on your practice as a Professional Play Therapist)NB your supervisor must not also be your line manager.
Name: / Name:
Address: / Address:
Postcode: / Postcode:
Telephone No: / Telephone No:
Email: / Email:

DECLARATION

a)I accept and agree to the information given in this form to be placed in the British Association of Play Therapists Approved Supervisor Register. I understand that this information may be accessed by any member of the public through a paper copy of the Register and/or the British Association of Play Therapists Internet Site at

b)I accept and agree that the British Association of Play Therapists is not responsible or liable for the general public’s use or misuse of information contained within the Register.

c)I accept and agree that the British Association of Play Therapists is not responsible or liable for any loss of earnings, damages or any other costs incurred by a member through the British Association of Play Therapists Approved Supervisor Register.

d)I accept and understand that the information given in this form will be placed in the Register for one calendar year and cannot be removed or changed prior to this time period, except in circumstances surrounding complaints made against me.I understand that if a complaint is upheld about my practice as a Play Therapist and/or as a Supervisor, BAPT may withdraw indefinitely or for a period, my registration as a Supervisor and I may need to re-apply to become a Supervisor in the future.

e)I confirm that the information contained within this form is true to the best of my knowledge and does not contain any false or misleading information regarding my experience, qualifications, practice, membership or identity.

f)I have enclosed a cheque payable to the “British Association of Play Therapists” for £30.

Your Signature:
Your Full Name:
Date:

PLEASE RETURN THIS COMPLETED FORM, 2 REFERENCESAND THE ADMINISTRATION FEE OF £30 TO THE BRITISH ASSOCIATION OF PLAY THERAPISTS EITHER BY POST TO THE ADDRESS BELOW OR BY EMAIL TO

BAPT 1 Beacon Mews, South Road, Weybridge, Surrey KT13 9DZ

REFERENCE REGARDING SUITABILITY TO PRACTICE AS A SUPERVISOR

TO PLAY THERAPISTS

Name of applicant:

Length of time you have known the applicant:

In what capacity have you known the applicant?

ABILITY TO SUPERVISE -

1.What model or theory would you say serves as the applicants main practice Methodology?

2.What relevant supervisory skills has the applicant demonstrated to you? (Minimumof four)

a)

b)

c)

d)

Has the applicant shown an awareness of-.

Boundary issues?...... Y/N

Child protection issues?...... Y/N

Ability to reflect on practice/process?...... Y/N

Sensitivity to cultural differences?...... Y/N

Any other comments?...... Y/N

Professional responsibility to wider networks involved with the child and their family? ...... Y/N

Please provide examples of two of the above.

1

2

Do you have any concerns regarding the applicant’s suitability to practice as a supervisor for Play Therapists?

Yes/No

If so please give details here:

Name and address of referee:

Date of reference:

British Association of Play Therapists