CCEC Clinical Training Program
Welcome to CCEC's Clinical Training Program! We are excited to get to know you and introduce you to our clinic.

This application contains five sections:
*You + CCEC
*Therapeutic experience

Unfortunately, you will not be able to save your progress and return to the application.

We recommend that you read through each question (all sections) before you begin.

If you have any questions, feel free to email us at

We look forward to getting to know you.

Application Fee: $35
Please mail your application fee or bring it to our office:
923 Olive St, Ste 1, Santa Barbara 93101
Your answer
Desired start date
Your answer
Your answer
Your answer
Undergraduate degree / year earned / school attended
Your answer
Graduate degree(s) / year earned (year expected) / school attended (attending)
Your answer
Briefly describe your past work history.
Your answer
Never submit passwords through Google Forms.
This form was created inside of Community Counseling and Education Center (CCEC). Report Abuse - Terms of Service