Employment Application

APPLICANT DEMOGRAPHICS

If you have multiple licenses or registrations, choose one as primary for the purpose of this application.

Name [as it appears on California: 1) Board of Psychology License or 2) Board of Behavioral Sciences License or Registration] *

Date License or Registration Expires. This information is used at this point solely for the purpose of verifying your license/registration with DCA. *

TT

.

MM

.

JJJJ

In which other U.S. states are you licensed to provide therapy as an independent clinician? *

None

AK

AL

AR

AZ

CO

CT

DC

DE

FL

GA

HI

IA

ID

IL

IN

KS

KY

LA

MA

MD

ME

MI

MN

MO

MS

MT

NC

ND

NE

NH

NJ

NM

NV

NY

OH

OK

OR

PA

RI

SC

SD

TN

TX

UT

VA

VT

WA

WI

WV

WY

Pflichtfrage

Residence Address *

Phone Number (must be able to receive texts) *

License or Registration Type *

APPLICATION QUESTIONS

How did you learn about employment opportunities at Parks & Powers Psychotherapy? *

How many hours would you like to work with Parks & Powers Psychotherapy each calendar week? *

How many weekly client hours would you like to have with Parks & Powers Psychotherapy each calendar week? *

What is the annual gross income you would expect in this position for the number of hours you want to work with us (based on your answer directly above)? *

What days and times (within our operating hours: Mon-Thu, 8am-8pm / Fri, 8am-6pm / Sat, 8am-4pm) would you like to work with Parks & Powers Psychotherapy each calendar week? *

In which mode(s) have you provided therapy to clients in the past? *

Face-to-face

Videoconference

Telephone

Pflichtfrage

If you have provided therapy via videoconference, please describe what you liked and didn't like about the experience.

If you have provided therapy via telephone, please describe what you liked, and didn't like, about the experience.

Which of the below populations/issues do you have experience working with?

Adolescents

Child/Estranged Parent Reunification

Children & Their Parents in Play Therapy

Co-parenting between separated/divorced couples

Couples - Infidelity & Other Trust Issues

Eating Disorders

Families (this does not include individual + family work in agencies, must be true family where all members are your clients)

Fertility/Pregnancy/Postpartum

Grief/Loss

Groups

LGBTQ

Seniors

Substance Abuse

Trauma Recovery

Which of the below populations/issues do you like, or maybe even have a passion for, working with?

Children & Their Parents in Play Therapy

Pre-Teens

Adolescents

Child/Estranged Parent Reunification

Co-parenting (especially in high-conflict parent relationships)

Couples - Infidelity & Other Trust Issues

Families (where all members are your clients)

Eating Disorders

Fertility

Grief/Loss

Groups

Lesbian, Gay, & Bi-sexual

Postpartum

Pregnancy

Queer

Substance Abuse

Transgender

Please talk about your interest in the above populations and issues. Please include how much experience you have with each.

Please talk about your interest in other populations, issues, and diagnoses. Please include how much experience you have with each.

If you're interested in joining our Private Practice Residency, please tell us what you hope to learn by joining us. If you're opting for the autonomous hire option, instead type N/A here. *

Please tell us why you believe Parks & Powers Psychotherapy might be a good fit for you. *

Do you currently have access to a confidential workspace (no people, pets, or other distractions visible/heard and no people can hear your conversations) for the scheduled days/times you would like to work with Parks & Powers Psychotherapy as well as other groups and meetings we schedule each calendar week? *

Do you currently have access to a stable, high-speed internet connection on a secured network during the days/times you would like to work with Parks & Powers Psychotherapy as well as for other groups and meetings we schedule each calendar week? *

Do you currently have access to a password- or fingerprint-protected cell phone (used only by you) at all times? *

Do you currently have access to a password- or fingerprint-protected laptop (used only by you) at all times? *

If accepted for an interview, will you be able to furnish at least one reference letter (speaking strongly to your clinical skills and professionalism) from someone who currently supervises your clinical work? *

Please indicate your availability to interview in the next 2-3 weeks if accepted for an interview. *

8am - 9am

9am - 10am

10am - 11am

11am - 12pm

12pm - 1pm

1pm - 2pm

2pm - 3pm

3pm - 4pm

4pm - 5pm

5pm - 6pm

6pm - 7pm

7pm - 8pm

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Saturdays

Sundays

FOR ASW, AMFT, AND APCC CANDIDATES

Please answer the next 3 questions.

Are you operating under your first BBS-issued registration number?

Have you passed your California Law & Ethics Exam?

How many hours of the 3,000 hours required for BBS application for licensure have you accrued and had signed (with appropriate ratios - i.e., don't include hours from maxed out categories) under a clinical supervisor?

FOR ASW CANDIDATES

Please answer the next question.

How many hours of the 3,000 hours required for BBS application for licensure have you accrued and had signed (with appropriate ratios - i.e., don't include hours from maxed out categories) under an LCSW clinical supervisor?

FOR AMFT CANDIDATES

Please answer the next question.

How many signed (and with appropriate supervision ratios) hours of the 500 hours of therapy with children, couples, or families required for BBS application for licensure have you accrued?

SUBMIT YOUR APPLICATION

After clicking on SUBMIT, please send an email (with your resume attached) to danae@parksandpowers.com and shawntres@parksandpowers.com stating, "I've submitted an application online for Parks & Powers."

Thank you for applying! We'll be in touch soon.