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:
*Background
*You + CCEC
*Therapeutic experience
*Referrals
*Resume

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 training@ccecsb.org.

We look forward to getting to know you.

Application Fee: $35
There is a non-refundable $35 application fee, due at the time of a scheduled interview.

Applicants that do not progress to the interview stage are not responsible for the application fee.

Name
Your answer
Desired start date
MM
/
DD
/
YYYY
Email
Your answer
Phone
Your answer
Address
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
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