Paper Cranes Counseling Employment Questionnaire
Hello :) Thanks for taking the time out to apply for a therapist position at Paper Cranes Counseling. 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 *
You may also include your pronouns
Email *
Phone number *
Are you fully licensed as an LCSW or LMFT in the state of California? *
If you are pre-licensed (i.e. ASW, AMFT) when do you anticipate being fully licensed? We are looking for candidates who are less than a year away from full licensure.  *
If fully licensed, enter N/A
If pre-licensed, do you need weekly supervision hours? If so, how many hours? 
 *
If fully licensed, enter N/A
Are you currently paneled with any insurance providers? 
 *
If yes, please list all insurance providers you are currently paneled with.
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).
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What type of employment are you interested in? *
Which location(s) are you interested in? *
Required
Describe your ideal work day schedule? *
What time(s) are you interested in seeing clients? *
Required
Rank these workplace values in order from most important (1) to least important (4) *
1
2
3
4
Self-reliance and performance
Reason and purpose
Teamwork and duty
Freedom and choice
Who is your ideal client?
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What would you say is your preferred clinical orientation?
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Do you have previous private practice experience?
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If yes, please tell us about your previous private practice experience(s).
Why do you want to work in a group practice? Why Paper Cranes Counseling?
 *
Paper Cranes Counseling is a growing group practice that is committed to fostering an inclusive and welcoming environment for clients and team members. Please describe your ideal workplace (i.e. culture, communication style, level of autonomy, perks, etc.) *
Paper Cranes Counseling strives to best support your strengths. In the workplace, what best describes you? *
How comfortable do you feel working independently and being able to follow through on scheduling your existing clients, keeping notes accurate and timely, responding to emails in a timely fashion, and staying organized? 
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What's the closest to your motto when it comes to tasks? 
Complete the sentence: "I'll do something if..."
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Do you have any skills and/or interests in any of the following non-clinical (non-F2F) activities within Paper Cranes Counseling? *
Required
What are your long term goals (1-3 years out)? Personally and/or professionally.
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What can you bring to Paper Cranes Counseling that sets you apart from other candidates?
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Tell us about your personality! How would colleagues describe you? How about your best friend?
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How did you hear about us?
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Thank you for taking the time to respond! If you haven't already, please email your resume and cover letter to hello@papercranescounseling.com
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