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Application Form: Child, Adolescent & Adult Therapist

Thank you for your interest in joining Heart It Out!

Heart It Out is a mental health organization committed to making accessible, compassionate, and inclusive mental healthcare available to all.

We are looking for a compassionate and skilled Therapist with experience working with children and adults, along with experience collaborating with NGOs or community-based organizations.

Please complete this application form with accurate information. Shortlisted candidates will be contacted for the next stage of the recruitment process.

A problem was detected in the following Form. Submitting it could result in errors. Please contact the site administrator.

1. What's your full name:

2. What's your email:

3. What is your contact number:

4. Location (City, State):

5. Upload your updated resume.

Educational Qualification

6. What is your highest educational qualification?

Master's in Psychology Master's in Counselling Psychology Master's in Clinical Psychology M.Phil. in Clinical Psychology Other relevant qualification

Other:

7. Name of your degree, specialization, and institution.

8. Year of completion of your highest qualification.

9. Please mention any relevant certifications, additional training, or therapeutic modalities you are trained in.

10. Please mention any professional registration or licence applicable to your qualifications and scope of practice.

Professional Experience

11. How many years of relevant experience do you have in therapy or counselling?

Less than 1 year 1–2 years 2–3 years 3–5 years More than 5 years

12. Have you worked with children and adolescents in a therapeutic or counselling setting?

Yes No

13. Please describe your experience working with children and adolescents, including the age groups you have worked with, presenting concerns, and therapeutic approaches used.

14. Have you provided therapy or counselling to adults?

Yes No

15. Please describe your experience working with adult clients, including common presenting concerns and therapeutic approaches used.

16. Have you previously worked with an NGO, community-based organization, or social impact initiative?

Yes, full-time Yes, part-time or on a contractual basis Yes, as an intern or volunteer No

please mention the organization(s), your role, duration of association, and key responsibilities.

17. Have you conducted mental health awareness sessions, workshops, psychoeducation programmes, or community outreach activities?

Yes No

briefly describe the programmes or initiatives you have been involved in.

Clinical Approach and Competencies

18. Which therapeutic approaches or modalities are you familiar with or trained in?

Cognitive Behavioural Therapy (CBT) Dialectical Behaviour Therapy (DBT) Play-based or child-centred interventions Person-centred therapy Trauma-informed approaches Family or caregiver interventions Solution-focused approaches Other

19. How do you adapt your therapeutic approach when working with children compared to adults?

20. How do you approach confidentiality, informed consent, and safeguarding when working with minors?

21. Briefly describe how you would respond if a client disclosed an immediate safety concern or risk of harm.

22. Are you comfortable collaborating with caregivers, multidisciplinary teams, and external organizations when clinically appropriate?

Yes No Would like to discuss further

Availability and Role Requirements

23. Are you currently based in Bengaluru, or are you willing to relocate?

Currently based in Bengaluru Willing to relocate to Bengaluru Not currently based in Bengaluru and unable to relocate

24. This is a full-time, work-from-office position at Koramangala, Bengaluru, five days a week. Are you comfortable with this arrangement?

Yes No

25. The working hours are 2:00 PM to 9:00 PM. Are you comfortable working these hours?

Yes No Would like to discuss further

26. What is your current notice period?

Immediate joining Less than 15 days 15–30 days 30–60 days More than 60 days Not currently employed

27. What is your earliest possible joining date?

Motivation and Additional Information

28. Why are you interested in joining Heart It Out?

29. What interests you about working with both children and adults in a mental healthcare setting?

30. Is there anything else you would like us to know about your experience, skills, or professional interests?

31. Declaration

I confirm that the information provided in this application is accurate and complete to the best of my knowledge. I understand that any further assessment of my qualifications and suitability will be conducted as part of the recruitment process.

Thank You!

Thank you for taking the time to apply to Heart It Out. We appreciate your interest in contributing to accessible and compassionate mental healthcare.

Our team will review your application and contact shortlisted candidates regarding the next steps.