Couples Learn Application Questions
Thank you for your interest in Couples Learn! Please complete the information in this
form so that I can learn more about you and your experiences. If I'm interested in moving forward with your application, I'll email you to discuss next steps.

Thanks,
Sarah Schewitz, Psy.D.
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Name *
First and last name
Email *
Phone number *
How many years have you been licensed? *
Please provide license type and license number for all states in which you are licensed. *
In what areas would you consider yourself an expert (e.g. sex therapy, divorce recovery, couples, trauma, grief, eating disorders, depression, personality disorders, addiction, etc.)?   *
Please explain what makes you an expert in these areas as opposed to having the same knowledge as most clinicians who go through graduate training.
Do you have any specialized training or certifications (e.g. Gottman Method, Imago, EFT, DBT, EMDR, CSAT, etc.)? Please be specific in naming the exact trainings and levels completed (e.g. EFT Core Skills, Gottman L2). *
Please estimate (as best you can) how many hours experience you have working with couples. Where and when did you gain this experience?
Availability *
Preference will be given to clinicians who can see clients during evenings and weekends as it will be faster to fill a schedule with evening and weekend availability.
Required
How many clients would you like to see per week? Preference will be given to those able to see 16+/week. *
mark only 1 option
Do you have your own private practice? If yes, please provide link to website. *
Are you currently in network with any insurance companies? If so, please list which ones. *
Please describe your short term (1-2 yrs) professional goals. I want my team to thrive & grow and I'd love to support you in reaching them! *
Describe your longer term (3-5 yrs) professional goals and let's see what we can do together to make them a reality. *
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