2022 Psychologist Facilitator Application Form - Tackle Your Feelings : Tackle Your Feelings

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Tackle Your Feelings 2022 Psychologist Facilitator Application Form

Applications to be a Tackle Your Feelings Psychologist Facilitator for the 2022 season are now open. Please complete the application form below, including nominating the specific region/s local to your area of practice. Should you experience any issues with this process, then you should email info@tackleyourfeelings.org.au

Before you start, please prepare the following:

Film a two-minute video explaining why you’d like to take part in the Tackle Your Feelings program

Maximum file size is 64MB

Prepare a CV of your work experience

Maximum file size is 2MB

All fields are required and the form must be completed and submitted in one sitting

Step 1: Personal Information

Name*

First Name Last Name

Street Address*

Suburb*

State*

Postcode*

Please select the region/s your practice is local to (regional - within 100km / metro - within 25km):*

Select region*

Bundaberg

Rockhampton

Select region*

Port Pirie

Select region*

Bunbury

Carnarvon

Geraldton

Karratha

South Hedland

We are not recruiting in your state in 2022. If you are not local to any of the regions listed, but you’d like to be considered for delivery in 2023, then you do not need to complete this form and you should email info@tackleyourfeelings.org.au.

Personal Email*

Personal Phone*

Professional Email (will be given to workshop participants)*

Professional Phone (will be given to workshop participants)*

Step 2: Practice Information

Are you an AHPRA-registered psychologist?*

Yes

No

Do you have an ABN?*

Yes

No

Please note: You will be required to set one up upon application success.

If you have an ABN, provide number here

Are you connected in any way to a local football club? (Yes/No) If Yes, please provide club name and type of involvement*

Do you have availability to deliver programs on weeknights (and weekends if needed)?*

Yes

No

Do you have the capacity to receive referrals that may flow from participating clubs?*

Yes

No

Step 3: Personal Application

Provide a short overview of your mental health experience working with junior, youth and adult clients ( 1 - 2 paragraphs)*

Provide a short overview of your experience and understanding of community sport, in particular AFL (1 paragraph)*

Provide examples of your experience in presenting to groups (1 paragraph)*

Detail your proficiency in the use of technology, such as Microsoft PowerPoint, Excel, Zoom, and/or eLearning platforms (1 paragraph)*

For uniform purposes (polo/jacket), what is your clothing size? (true fit)*

Step 4: File Upload

Please upload a short video (max 2 mins) explaining why you'd like to take part in the TYF program.*

Accepted file types: mp4, mov, Max. file size: 128 MB.

If you have trouble uploading your video, contact: info@tackleyourfeelings.org.au

Please upload your CV here (PDF format)

Accepted file types: pdf, Max. file size: 2 MB.

Please do not close your browser or refresh this page until the form has submitted.

Phone

This field is for validation purposes and should be left unchanged.