Therapist IC Position Questionnaire
Thank you for your interest in a therapist position at Relationship Insights. Filling out this questionnaire will help me learn more about you, as well as determine if you are a good fit at this time.

Take care!

Warmly,
Jen Rives, MA, LMFT

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What is your name? *
What is your phone number? *
What is the best way to reach you? *
What is your undergraduate degree, major and date of graduation? *
What is your master degree and date of completion? *
What is your licensure (licensure track) type? *
What is your licensure status? *
Required
If pre licensed what is your expected date of getting you associate license, as well as your full license?  Do you foresee any challenges?
Why do you think you would be a good fit?

 What are some ways that you feel you would contribute?
 *
A climate of purposeful inclusion of all people is affirmed and cultivated here at Relationship Insights.  We affirm the diversity of racial and cultural identity, background, nationality, sexual and affectional orientation, gender identity and its expression, religious background and belief, relationship status, family structure, age, appearance, body shape and size. If you were to join our team, can you enthusiastically affirm and support the diversity of clients in your work as a therapist? *
Can you talk about your experience and passion for working with couples? *
Please describe your therapeutic style as well as the therapy models that you utilize in your work with clients: *
What are your therapeutic specialties and passions? List any certifications, previous experience, or any other information that informs us about your ability to work with those specialties and passions. *
What are some relationship niches that you have or that might interest you (e.g., codependency, trauma, discernment counseling, sex therapy, divorce/transitions, affairs/infidelity, women’s or men’s issues, etc.)? *
What are your strengths as a therapist? *
What are your growth areas as a therapist? *
Do you have experience and/or interest in doing therapy groups? Workshops? Anything else? *
Do you have any areas of expertise, specialties, or certifications (Sex Therapy, EMDR, SE, ACT, DBT, EFT, Gottman, etc)? What kind of extra trainings have you had? *
Where are you currently employed? *
Please share your employment/job description and what it entails: *
Let’s talk future goals!

 Where do you see yourself in 5 years? In 10? *
Do you have or have you had a solo private practice? Is having a solo private practice something that you want or part of your future plan? Please describe: *
Why do you want to work in a group practice? Why do you want to work at Relationship Insights, in particular? *
What are your long term personal and professional goals for the next 1-3 years? *
What is your ideal number of hours that you would like to see clients per week? *
Required
In order to build a client load when a therapist is first stating out it is important to be able to offer clients some evening times and at least one weekend 4 hour block.        What is your availability to work nights and weekends? *
 Please discuss your ideal schedule. *
Please list days and times that you absolutely CANNOT work (E.g., Sundays, Tuesday and Thursday mornings, Monday and Wednesday evenings,  etc.). *
Are you available to start immediately? *
If not, what is your available start date? *
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This position requires an excellent work ethic (professional communication, thoroughness, punctuality, timeliness of clinical notes/duties, client support, CEUS & training, ethics, keeping accurate and timely clinical notes (clinical diagnosis, progress notes and treatment plans), organization skills as well as the ability to work independently and follow directions without difficulty, communicating with and scheduling existing clients, making client payments through our EHR, responding to emails and texts in a professional and timely fashion, paying attention to detail, asking for support when you need it, and staying organized, etc). Are you confident you will be able to accomplish these tasks efficiently and effectively? Please share any concerns you may have about the nature of this work. *
Required
This therapist position is providing therapy services exclusively online, using Telehealth, HIPAA Compliant Video through our EHR. You will need a private and professional space in your home in order to do this. Is that something that you are comfortable with and able to accomodate? Please describe any concerns you have with this. *
Tell us about your personality. How would colleagues describe you? How would friends describe you? *
What are the last 3 books you've read? Last 3 TV shows you've loved? *
What can you bring to Relationship Insights that sets you apart from other applicants? *
How did you hear about us? *
Anything else you'd like to share? *
Thank you for taking the time to fill out our questionnaire - we appreciate it!
Only those candidates selected for interviews will be contacted. Thank you for your interest and we look forward to reviewing your questionnaire.

If you haven't already, please email Jen your resume and cover letter to jen@insightsminneapolis.com.
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