Employment Questionnaire
Thank you for taking time to apply for a therapist position at Life Enrichment Counseling. To help with the interview process, we ask that you complete the following questionnaire to make sure you are a match for the current needs of our group.
Name *
Email address *
Phone number *
Are you fully licensed as a mental health professional in the State of Indiana (e.g. HSPP, LMHC, LMFT, LCSW)? *
What mental health license(s) do you have in the State of Indiana (e.g. HSPP, LMHC, LMFT, LCSW)? *
How long have you been fully licensed as a mental health professional in the State of Indiana? *
We are currently looking for a therapist that specializes in working with couples or children and teens. Are either of these a specialty of yours? *
Please tell us about your area(s) of specialty. List any certifications, previous experience, or any other information that informs us about your ability to work with your chosen population(s). *
Which office are you interested in working at? *
Are you available to see at least 12 clients per week? *
Are you available to work at least 2 evenings and/or weekend hours? *
Please share your ideal schedule which includes either 2 evenings and/or weekend hours. *
Do you have experience working in a private practice setting? *
If yes, please share more about your experience in a private practice setting.
Our clinicians are able to work independently, are collaborative, and reliable. Do you feel comfortable working independently and being able to follow through on scheduling your existing clients, taking copays or payment, keeping notes accurate, responding to emails and calls in a timely fashion, and staying organized? * *
Why do you want to work in a group practice? Why our office? *
What are your goals over the next 1-3 years, personally and/or professionally? *
What can you bring to Life Enrichment Counseling that helps set you apart from other candidates? *
Please submit your cover letter and resume with references. *
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