Grace & Gratitude Counseling: Supervisor Employment Questionnaire
Thanks for taking the time out to apply for a Clinical Supervisor position at Grace & Gratitude Counseling, PLLC. Please fill out this questionnaire as a starting point, so that we can start to see if we may be a good fit.

Thank you!

Your Name: *
Your Email Address: *
Are you fully licensed in the state of Illinois? *
In what city of Illinois do you reside? *
Are you paneled with BCBS-IL? *
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). *
Who is your ideal client?
This position requires clinician and practice working together to gradually build your caseload, which typically takes 2-4 months.  As pay is based on number of client sessions worked, this means a gradual increase in pay until you have reached your ideal caseload. Are you comfortable with this gradual build?
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Please discuss your ideal schedule. *
What would you say is your preferred clinical orientation? *
Do you have previous private practice experience? *
If no, can you tell us about your direct contact hours? For example "My job is 25% group work, more than 50% individual therapy" etc. *
If yes, please tell us about your previous private practice experience. *
Please describe previous clinical supervisory or management experience. *
What do you consider to be your strengths as a supervisor?  *
Grace & Gratitude Counseling is a team of clinicians who are committed to doing their clinical work solely at GGC, rather than splitting their time between multiple practices or side endeavors.  Our family-like culture is ideal for clinicians who are "all-in" and want to learn and grow within our practice. Will you be working in your own private practice or at another group practice if employed at GGC? *
Our clinicians must be comfortable working with teen and adult women, and have a special interest in anxiety and trauma work. Please describe any training, books, or experience you may have had that relate to women's anxiety & trauma (or trainings you are eager to attend, books on your reading list, etc). *
We especially seek clinicians with trauma training or interest in pursuing trauma proficiency. Do you have specialized training or certifications in EMDR, IFS or other trauma-informed modalities? If not, please describe your level of interest in undergoing training in these modalities. *
Our practice attracts female clients with a diverse range of clinical concerns, personal beliefs, and religious backgrounds. In line with our practice culture and values, we are especially seeking clinicians who are able to provide clinical services from a Christian faith perspective when requested by clients. Please describe any experience you may have with serving clients requesting Christian faith based counseling. *
Our clinicians are able to work independently, quickly learn processes and systems, and accept feedback with grace. Do you feel comfortable following through with scheduling your ongoing clients, discussing fees, submitting thorough notes in a timely fashion, responding to emails or calls, and staying organized? *
What attracts you to group private practice? Why Grace & Gratitude Counseling? *
What are your long term personal/professional goals (1-3 years from now)?   *
What can you bring to Grace & Gratitude that sets you apart from other clinicians? *
How did you hear about us?
Do you know your Myers-Briggs Type and/or Enneagram number? Please state below *
Tell us about your personality. How would colleagues describe you? Clients? *
Thank you for taking the time for Step 1 of your application. Step 2: please email your resume and cover letter to our Owner & Executive Director, Sarah Czopek, at sarah.czopek@graceandgratitudecounseling.com. We will reach out shortly if interested in setting up an interview.
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