Solid Foundations Therapy Employee questionnaire

Thank you for your interest in joining our team! Please thoughtfully and thoroughly respond the questions below. We will reach out to you via email if you are selected to proceed to the next step of the interview process.

Name *

First and last name

Email *

Phone number *

What Professional licence do you currently hold in IL? *

ALMFT

MFT

LPC

LCPC

LIcenced Psychologist

Other:

Are you credentialed with any insurance companies through another agency or organization? *

yes

Please explain why an employee (W2) position is a good fit for your career. *

Working in private practice is very different from working in a community/agency setting. Please explain why you wish to work in private practice? *

Please explain why you would be a good fit for private practice? *

Are you able to work evenings and weekends? *

Yes

I would like to work... *

3.5 days/ week and have a minimum of 26 available slots to see clients

4 days/week and a minimum 30 available slots to see clients

I'm open to either option

Other:

Please explain which populations you would like to work with *

Please describe any therapeutic populations/issues that you DO NOT want to work with *

Please describe your therapeutic style/orientation. Include any specific treatment modalities you are trained in *

What type of experience do you have working with couples? *

What type of experience do you have thinking systemically? *

Please describe what you are looking for from your employer *

Why do you want to be a supervisor? *

What type of supervisor experience do you have *

Please describe what type of leadership style you respond to best. *

Please describe your ideal working environment *

Why are you leaving your current place of employment? *

What are you long term professional goals? *

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