
Get the free COUNSELING STATEMENT FACT SHEET - Fort Benning
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Jan 2018
Office Use Only
Interview Date
AcceptedCounselling ServiceNow AcceptedCounsellor Volunteer Placement Application Form
Name:Address:Home:Work:Mobile:Contact NumbersEmail:
D.o.B.:DBS Checks
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How to fill out counseling statement fact sheet

How to fill out counseling statement fact sheet
01
To fill out a Counseling Statement Fact Sheet, follow these steps:
02
Start by entering the basic information at the top of the form, including your name, rank, and unit or organization.
03
Provide the date of the counseling session and the name and rank of the individual being counseled.
04
Use the open space provided to describe the purpose or reason for the counseling, making sure to be clear and specific.
05
Fill in the facts or events leading to the counseling in a point-by-point manner. Be concise and avoid subjective language.
06
Document the specific behavior or performance that is being addressed in the counseling, along with any supporting details or evidence.
07
Clearly state the impact or consequences of the behavior or performance, including how it affects the unit or organization.
08
Provide guidance or recommendations for improvement, including specific actions or steps the individual should take to address the issue.
09
Conclude the counseling statement with acknowledgement of the individual's understanding or any additional instructions or comments.
10
Finally, ensure both the counselor and the individual being counseled sign and date the form to indicate their agreement and understanding.
Who needs counseling statement fact sheet?
01
The Counseling Statement Fact Sheet is typically needed by military personnel or individuals within an organization who require counseling or disciplinary action.
02
This form helps to document the counseling process and serves as a written record of the counseling session, ensuring fair and consistent treatment.
03
Both the counselor and the individual being counseled should keep a copy of the completed form for their records.
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What is counseling statement fact sheet?
A counseling statement fact sheet is a document used to provide detailed information regarding an individual's counseling sessions, including the purpose, content, and outcomes of the discussions. It serves as an official record of counseling provided.
Who is required to file counseling statement fact sheet?
Typically, mental health professionals, counselors, or organizations offering counseling services are required to file a counseling statement fact sheet, ensuring compliance with applicable regulations and providing accountability in their services.
How to fill out counseling statement fact sheet?
To fill out a counseling statement fact sheet, individuals should include the date of the counseling session, participant details, the topics discussed, the outcomes or recommendations made, and any follow-up actions required. It is important to be clear and concise while ensuring all necessary information is captured.
What is the purpose of counseling statement fact sheet?
The purpose of the counseling statement fact sheet is to document the nature and results of counseling sessions, provide a reference for future sessions, improve accountability, and ensure that both counselor and client have a clear understanding of the discussion and agreed-upon actions.
What information must be reported on counseling statement fact sheet?
The information that must be reported on a counseling statement fact sheet typically includes participant names, session dates, discussion topics, key points of the conversation, recommendations made, and any plans for follow-up or further sessions.
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