Counselor Sign Up
Sign up if you are a licensed counselor and you wish to provide free or discounted therapy to the survivors of the Beirut blast.
Email address *
LinkedIn profile (or share your CV later)
Name of therapist *
Education (where and what you studied) *
Type of therapy (psychoanalysis; cognitive behavioral therapy; mindfulness-based stress reduction, etc...) *
Focus (child therapy, trauma, family, relationship, etc...) *
Years of practice *
Dou prefer 1-1 or group therapy (or both)? *
How many clients can you accept? (If group therapy, 1 group will be considered 1 client) *
Preferred communication tool (Phone, Skype, Zoom, Whatsapp, etc...) *
Language(s) used for therapy *
Required
Location/Time Zone (Beirut, Paris, Dubai, etc...) *
Cost, if any (Please specify 0 if free or enter a number in USD) *
Additional info about yourself
A copy of your responses will be emailed to the address you provided.
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