Solid Foundations Therapy Employee questionnaire

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Thank you for your interest in joining our team! Please thoughtfully and thoroughly respond the questions below. We will reach out to you via email if you are selected to proceed to the next step of the interview process.

Today's Date *

YYYY

Name *

First and last name

Email *

Phone number *

What Professional licence do you currently hold in IL? *

ALMFT

LMFT

LPC

LCPC

LIcenced Psychologist

Other:

Are you credentialed with any insurance companies through another agency or organization? *

yes

Please explain why an employee (W2) position is a good fit for your career. *

Working in private practice is very different from working in a community/agency setting. Please explain why you wish to work in private practice? *

Please explain why you would be a good fit for private practice? *

What about our job ad made you want to apply? *

Are you able/willing to work 2 evenings and 1 weekend shift long term, With 30 client slots? *

Yes

If "no" to the above please explain *

I would prefer the following schedule *

Fully in person ( in the office 4 days)

Hybrid (in the office 3 days and virtual 1 day)

5 day work week ( 3 full days : including 2 evenings, 2 half days: 4 hour weekend shift, 4 hour virtual evening shift)

Please explain which populations you would like to work with *

Please describe any therapeutic populations or issues that you DO NOT want to work with *

Please describe your therapeutic style/orientation. Include any specific treatment modalities you are trained in *

What type of experience do you have working with couples? *

Why do you want to work with romantic relationships and couples? *

What type of experience do you have thinking systemically? *

Please describe what you are looking for from your employer *

Please describe what type of leadership style you respond to best. *

Please describe your ideal working environment *

Why are you leaving your current place of employment? *

What are you long term professional goals? *

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