What type of position are you ideally looking for? *
Your answer
What potential hours do you have available for clients? *
Your answer
What mental health licensure do you hold, and what is your license #?
Your answer
If you don't yet hold a licensure, what licensure is "pending"/when do you take your licensure exam?
Your answer
What type of trauma-informed training do you have? *
Your answer
Please share about the client population you are most interested in providing support to and/or area(s) of expertise and specialized training you have. *
Your answer
What specialized training and/or certification(s) do you hold? *
Your answer
What trainings/ certification(s) are you interested in pursuing in the future? *
Your answer
After completing this form, please send an email to emily@authenticgrowthwellness.com including your Cover Letter + CV/Resume with references included on the last page. Thank you so much, and Emily Pagone will be in contact with you shortly.
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