Emerging Therapist Interest Form
Thank you for your interest in joining Artesian Collaborative's team. Our goal is to make sure we find the best fit for our team which also means helping you determine if we are the right fit for you. The following questions will help us get to know you more and guide the beginning of this interview process. At any point if you have additional questions feel free to reach out to us.

Sincerely,

Sunitha Chandy, Psy.D.
Owner/Licensed Clinical Psychologist
773-980-9679
schandy@artesiancollaborative.com
Email *
Name *
Phone Number *
Highest Degree *
Are you licensed in Illinois? What is your license type and number?
Tell us a little about your experiences with diversity, equity and inclusion?
Please add any formal or informal facilitation, community organizing or relational experiences.
What are your career goals?
What are you really good at professionally? Please give me some examples.
What are you not good at or not interested in? Please give me some examples.
What populations are you interested in working with and which do you have experience working with?
Interest?
Experience?
Early Childhood (0-5)
Children (6-12)
Adolescents (13-19)
Adults (19-65)
Older Adults (66+)
Individal
Couples
Family
Groups
Stress Management Trainings
Diversity and Inclusion Trainings
Corporate Consultation
What is your philosophy of care?
Please share any other information you would like us to know.
Next Steps
For you: If you hav a resume or CV to add, please send it to connect@artesiancollaborative.com.


For us: After we review your responses we will reach out to discuss with you the next steps to this process. We do our very best to respond to interest forms in 2 weeks, though delays do happen, but you can plan to hear back from us within that time frame.
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