Employment Questionnaire
Hello!
Thanks for taking the time to apply for a therapist/clinician position. To streamline the process and be sure we are an appropriate match, please fill out this questionnaire. Thank you!
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Email *
Name *
First and last name
Email *
Phone number *
Are you fully or provisionally licensed as an LCPC,  LCSW or LMFT?* *
Required
What state(s) are you licensed in? *
Please tell us about your specialty/niche(s). List any certifications, previous experience, or any other information that informs us about your ability to work with that population(s) *
What called you to work as a clinician? *
What interests you about working at a private practice group? *
Are you available to work (seeing clients) at least 25 hours per week and have 30 available client openings? * *
Please discuss your ideal schedule. *
Do you have previous private practice experience? *
We bring on seasoned therapists who can commit to working with us. We find that clinicians are more invested in our culture and mission this way, and we want a healthy work/life balance for our team. Will you be working in your own private practice or at another group practice if employed with us? *
Our practice is very collaborative. We focus on helping the community by way of marketing, networking, and providing community speaking engagements. Are you comfortable with this? *
Our practice strives to be inclusive. We provide supervision and training to assist our therapists in offering a nonjudgemental space by focusing on "the person of the therapist" and clarifying their own biases and limitations. Are you comfortable working in this type of environment? *
The intention of the practice is reintegrating spirituality and spiritual practices into the essence of authentic psychological inquiry and healing.  Are you comfortable speaking about spirituality. spiritual practices, and, perhaps religious traditions with clients? *
Our clinicians are able to work independently and follow directions easily. Do you feel comfortable working independently and following through on scheduling your existing clients, taking copays or payment, keeping notes accurate and timely, responding to emails in a timely fashion, and staying organized? *
What are your long term goals (1-3 years out)? Personally and/or professionally. *
What can you bring to the group practice that sets you apart from other candidates? *
Tell us about your personality. How would colleagues describe you? *
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