Apply for the Licensed Mental Health Therapist position
Sign in to Google to save your progress. Learn more
First and Last Name *
Email *
Phone *
Street, Apt, City, State, Zip
What type of hours can you work *
What type of location can you work
Clear selection
Do you have teletherapy training and certification?
Clear selection
Tell us why you'd like to work for Christian Counseling Associates, Inc. *
Tell us what you would bring to Christian Counseling Associates, Inc. *
How do you see your faith as playing a role in your job as a therapist? *
Date Available *
LinkedIn Profile URL
Highest Education Obtained
College/University where your highest degree was awarded
References (Name, Company, Contact Information)
Don't forget to send us your resume. If you have a Google account, upload using the upload button on this page. If not, send as an attachment to the following email address 
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.