Couples Learn Clinician Applicant Questions
Thank you for your interest in Couples Learn. Please complete the information in this
form so that we can learn more about you and your experiences. Upon completion of this
application, please submit your resume AND cover letter to drsarah@coupleslearn.com.

Resumes submitted without this questionnaire or without cover letters will not be considered.

Compensation range for this position is $90,000 to $115,000/year
Name *
First and last name
Your answer
Email *
Your answer
Phone number *
Your answer
Is the graduate program you attended accredited? If yes, by what organization? *
Your answer
Was your internship accredited? If yes, by what organization? *
Your answer
How many years have you been licensed? *
Your answer
Please provide license type and number for all states in which you are licensed. *
Your answer
In what areas would you consider yourself an expert (e.g. sex therapy, divorce recovery, couples, trauma, grief, eating disorders, depression, personality disorders, addiction, etc.)? *
Please explain what makes you an expert in these areas as opposed to having the same skills as most clinicians who go through graduate training.
Your answer
Do you have any specialized training or certifications (e.g. Gottman Method, Imago, EFT, DBT, EMDR, CSAT, etc.)? If yes please describe. *
Your answer
Describe your ideal client (age, demographics, presenting concerns, etc). *
Your answer
Availability *
We are looking for clinicians willing to start with a small caseload and increase over time. Preference will be given to clinicians who can see clients during evenings and weekends as it will be faster to fill a schedule with evening and weekend availability.
Required
How many clients would you like to see per week? *
mark only 1 option
Do you have your own private practice? If yes, please provide link to website. *
Your answer
Have you worked in a group practice before? *
Have you practiced online therapy through video chat before? *
If yes, please describe when, how often, and which online system you used to connect with clients.
Your answer
Are you currently in network with any insurance companies? If so, please list which ones. *
Your answer
Describe your short term (1-2 yrs) professional goals *
Your answer
Describe your longer term (3-5 yrs) professional goals *
Your answer
Submit your cover letter and resume *
Upon complete of this application, please submit your resume AND cover letter to drsarah@coupleslearn.com. Please type "Yes" to confirm you have or will be submitting both.
Your answer
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