Therapist Application Screening for Beyond the Mask Trauma and Wellness, PLLC Therapy Practice
Hello! We thank you for your interest in Beyond the Mask Trauma and Wellness, PLLC therapy group practice. We are excited to learn more about you as you move through the application process. If you are interested in becoming part of our team, please complete the following form. Upon submitting your application, please also forward your resume and cover letter to admin@livebeyondthemask.com
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Are you ready to join an amazing team and be a part of something great? BTM is establishing a culture of excellence. This position is long-term with opportunities for growth and is suited for someone desiring to CONTINUE being amazing. ***If you are looking for something short-term this is NOT the opportunity for you. We completely understand your personal goals and respect your decision to continue being amazing elsewhere. *
Name *
Email Address *
Phone Number *
What type of license(s) do you hold? *
Are you licensed to practice independently in NC or NJ? *
Please provide your license(s) number and applicable state(s). *
Has your license ever been challenged or been under review? *
Are you willing to consent to a background check? *
How many years of counseling experience do you have? *
Who is your ideal client? *
Do you have experience working with groups? If yes, please provide examples of the types of groups you've worked with. *
Do you prefer working with children or adults? *
Do you have experience completing client assessments? *
What therapy modality do you work from? *
Is there a population that you are NOT comfortable working with? *
Do you have a CAQH Profile? *
Do you have an NPI? *
Do you require supervision? *
Are you currently under supervision? *
If currently under supervision, how many hours do you have remaining?
Do you have experience using Telehealth to counsel clients? *
What Telehealth platforms have you worked with? *
This position is 100% remote.  Are you able to work remotely? (This requires a secure office with the equipment needed to conduct therapy uninterrupted in a private area). *
What is your ideal work schedule? *
Do you have evening availability? *
What is your desired compensation? *
What justifies this compensation/salary for you? *
Required
Are you in need of any of the following  (check all that apply)? *
Required
Do you currently hold any certifications? If applicable, please list them below. *
What is the best day and time for us to connect for a 30 - 45 minute video interview (Check all that apply)? *
Required
Are you currently employed? *
How much notice are you required to give to your current employer if you were to receive an offer? *
Are you looking for Full-Time or Part-Time employment? *
Required
If you are leaving a practice or agency, do you have clients that you intend to bring with you? *
Do you have a non-compete agreement with your current employer?
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Is there anything you would like us to know relative to this opportunity? *
Statement of Faith: Beyond the Mask Trauma and Wellness, PLLC is known for integrating faith and mental health approaches for healing and wellness. Feel free to share your personal statement of faith. This is not a requirement for this position and sharing is optional.
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