Supervise therapists who are working with sex offenders

This is a comprehensive form and will take some time to fill in.

Please email a scan or PHOTOgraph copy of your certificates, CPD certificates, insurance policy and CRB check (if relevant) to AND If you need to post them, please email us and we will give you the address.

If you fill in this form, you are agreeing to our terms and conditions: when we give you your first referral you take responsibility payment of a £50 membership fee payable to StopSO. After that there will be an annual fee of £50.

NB please fill in a separate form AS WELL if you would like to work directly with this client group, as well as offer supervision

e.g. Please not postcode e.g. NP177HZ Monmouthshire and KT26LG London

If you are not yet trained, skip this question

If yes, please note the lowest amount you would charge

N.B. For working in the field of forensic therapy and sexual offending

NB this must cover you for your work as a supervisor, as well as for therapy

Name, email, phone, address and qualifications

Name, contact details, and a note about how they know your work

Name, email, phone, address and qualifications