How many years of face-to-face psychotherapy experience do you have, not including case management? *
Please select your preferred in-person versus telehealth option. *
Choose
Fully In-Person, Now and in the Future
Fully Telehealth, Now and in the Future
Fully Telehealth for Now, Fully In-Person for the Future
Hybrid Now, Fully In-Person in the Future
Hybrid (In-person and Telehealth), Now and in the Future
If contracted as an Independent Therapist, when is the earliest date you would be available to start accepting clients? *
MM
/
DD
/
YYYY
Why are you interested in working at our practice specifically? *
Your answer
What does holistic wellness mean to you? *
Your answer
What is your theoretical orientation? *
Your answer
Please discuss your ideal schedule, including how many hours you would like to work each week. *
Your answer
Out of the hours you would like to work each week, how many clients would you like to see at our practice on a weekly basis? *
Your answer
What are your career / personal goals for the next 1-5 years? *
Your answer
At Harmony Holistic, our clinicians tend to enjoy working independently. Do you feel comfortable scheduling existing clients, staying on top of notes, taking copays and payments, responding to emails quickly, and staying organized? *
Our practice is very collaborative and our clinicians tend to support one another with their cases as well as encouraging groundedness, clear thinking, and life/work balance. Do you feel you are compatible with this type of environment? *
Your answer
What will you bring to our practice that sets you apart from other candidates?
Your answer
Are you planning to have another job in the next couple of years and work at both places? *
Choose
Yes, in the future
Yes, I am currently working another job and plan to stay working there
No
Maybe
Are you planning to stop working or decrease your availability, for any reason, in the next several years? *
Could you tell us what your status is to work in the United States? *
Do you want to or plan to open your own private practice in the next 3 years? *
Your answer
What is your preferred population to work with? *
Choose
Young children, less than 12
Teenagers
Emerging adults
Adults
Elderly
What trainings have you completed in the last few years? *
Your answer
What are your preferred pronouns?
Your answer
How did you hear about us? *
Your answer
Please list 2-3 dates and time ranges that you could do an interview. *
Your answer
Thanks for taking the time to fill this out. We will get in touch shortly.
If you haven't already, please email your cover letter and resume to the practice directors, Dr. Melanie Ricaurte and Taylor Sherman, at hello@weareharmonyholistic.com.
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