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

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

The compensation range for this position is $87.50/hr for masters-level clinicians and $112.50/hr for doctoral-level clinicians with room for growth and raises based on performance and client demand for your services.
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Name *
First and last name
Email *
Phone number *
Is the graduate program you attended accredited? If yes, by what organization? *
Was your internship accredited? If yes, by what organization? *
How many years have you been licensed? *
Please provide license type and number for all states in which you are licensed. *
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.
Do you have any specialized training or certifications (e.g. Gottman Method, Imago, EFT, DBT, EMDR, CSAT, etc.)? If yes please describe and be specific in naming the exact trainings completed (e.g. EFT Core Skills, Gottman L2) *
Describe your ideal client (age, demographics, presenting concerns, etc). *
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.
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. *
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.
Are you currently in network with any insurance companies? If so, please list which ones. *
Describe your short term (1-2 yrs) professional goals *
Describe your longer term (3-5 yrs) professional goals *
Submit your cover letter and resume *
Upon complete of this application, please submit your resume AND cover letter to Please type "Yes" to confirm you have or will be submitting both.
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