Name Email Address Phone Number Personal Information: We enjoy leaning about clinicians that have unique interests, areas of specialization, and personality traits that fosters diversity, acceptance and growth! Please take a few minutes to tell us about yourself: Full Professional Name & Email Address What is your current place of employment? Which office(s) are you interested in working in? OwensboroHartfordLewisportHendersonMorgantownCentral CityOnline What is most important to you in obtaining a new position? Please be honest! This will help us determine if our organization can meet your needs. I would prefer to get paid the highest possible percentage and make sure my own clients are scheduled, documentation is completed timely, secure my own referrals/clients, and be paid when the company gets paid.I would rather get paid a lesser but competitive flat billable rate, but have help from the office staff with verification of insurance, scheduling, have someone market me and my areas of interest and specialization, and be paid every two weeks based on the sessions I provide.I would rather be paid a lower but set stable salary, work at the office for my set number of hours each week, and see the clients that are put on my schedule whether they show up for the appointment or not.I'm not sure which option I prefer but I'd like to talk more about it. What licensure and/or certification(s) do you presently possess? LPCCLCSWLMFTTCADCCADCLCADCLCPCCTCLCMFTBCCCOTHER What type of setting(s) are you interested/willing to work? OfficeHomeSchoolOther Ideally, how many billable hours would you like to have per week? 1-910-1820-2425+ Of the populations listed, which are you the most interested in/willing to work with? AdultsChildrenTeenagersFamiliesCouplesSubstance Use/Abuse Professional Goals: Please tells us about your goals and aspirations! We want our team members to be fulfilled in their work, and to be open and interested in new opportunities. This information helps us understand if we'll be a good fit. What are some of your professional interests? In what specific area would you like to expand and grow your learning? Be honest. At this point in your life, which is more appealing to you? MoneyLearningCollaborative Working Environment Which group of adjectives best describes you as a clinician? Driven, motivated, goal-orientedCreative, innovative, strategicSolid, stable, dependableEccentric, flexible, fun If you had to only choose one, which of the following do you think is your greatest strength? DiagnosingTreatment PlanningBuilding RapportTreatment Goal CompletionClient Retention Next Steps: What salary range, rate per hour, or percentage split are you looking for in this position? (Please provide a specific amount or range - something other than "negotiable".) What's one "must-have" for you in a new position? What else would you like the hiring team to know about you? Please upload your Cover Letter here in PDF format. Please upload your Resume here in PDF format.