Therapist Job Application
Thank you for your interest in joining our therapy team. We are always looking to connect with Latinx therapists. Please fill out this form and we will contact you soon. For a list of open positions, visit our Latinx Talk Therapy LinkedIn page.
* Required
First Name
*
Your answer
Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Email
*
Your answer
Phone number
*
Your answer
How did you hear about us?
*
Social Media (IG/FB)
Indeed
Friend
Latinx Talk Therapy Employee
Other:
Latinx Talk Therapy Employee Referral Name
Your answer
License Type (*we are hiring master level therapists at this time)
*
Choose
LPC
LCPC
LSW
LMFT
ALMFT
LCSW
License Number
*
Your answer
NPI 1 #
Your answer
CAQH #
Your answer
Name of current place of employment
Your answer
Years of experience
Your answer
Name of your graduate school and program
Your answer
What year did you graduate from your training program?
Your answer
Do you speak Spanish?
*
Yes
No
Resume
Please send your resume to info@latinxtalktherapy, with subject line: Resume Latinx Therapist Position
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