Which Associate license do you have or will you have? *
What is your license number? If you do not have your license number yet, please indicate that below. *
Your answer
About how many hours have you collected so far toward licensure? *
If you need Couple/Family/Child hours, how many hours do you have toward that category? *
About how much time do you expect it will take you to complete the rest of your 3,000 hours? *
What year did you receive your first Associate license? If you do not have your Associate license yet, please indicate the month and year you you submitted your documentation to the BBS. *
Your answer
Is this your first or second Associate number? *
What demographic(s) do you want to work with? Please check all that apply. *
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What type of issues interest you most to work with? Please check all that apply and include any interests you have that are not listed here in the Other box. *
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Ideally how many clients would you see in private practice per week? *
How many days a week would you prefer to see clients? Please check all that apply. *
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What is your ideal schedule? Please check all that apply. *
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How did you hear about this position at Beachside Counseling? *
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Once you submit this form, please don't forget to email your resume and cover letter to hello@beachsidecounseling.com so we can learn more about you, your background and your experience as a clinician!
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