This application form is used to apply for employee assisted programme counselling at Projekt 42. To complete the form takes less than 5 minutes .
To help you access counselling with the right person, we need to collect some personal information. Where we collect sensitive information, we do so only to provide the service to you. Under the Data Protection Act 20128, your permission is needed to collect and keep personal data, whether by manual or electronic means. By completing and submitting this form, you give us the necessary permission to keep such dat as you are willing to disclose.