Training Application

  • Training Application

    Thank you for your interest in training at The Center! Upon submission of your application, you will be contacted by a representative to invite you to an upcoming virtual Open House. We look forward to seeing you!
  • Today's Date*
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  • Format: (000) 000-0000.
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  • Are you currently enrolled in a graduate program?*
  • Are you eligible for practicum based on school requirements?*
  • Are you currently a registered associate?*
  • When would you like to see clients?*
  • When would you like to meet for group supervision on a weekly basis?*
  • Are you available to provide counseling in person and / or via telehealth?*
  • Have you completed Law & Ethics?*
  • Have you received any personal counseling?*
  • Are you a veteran?*
  • Have you ever been convicted by any court of a misdemeanor crime?*
  • Have you ever been convicted by any court of a felony?*
  • Do you currently have any pending issues with the court?*
  • Have you ever had a Board licensing dispute?*
  • Have you ever had any disciplinary action levied against you by your training institution / graduate program?*

  • Technology Statement

    Volunteer employment at The Center requires that counselors have foundational technological skills.  Individuals must be familiar with Microsoft Word and cloud based services such as Google Drive and Dropbox.  The Center will train counselors on the processes utilized in the course of their work as therapists but we are unable to support individuals who do not have these foundational skills.

  • Certification

    I certify under penalty of perjury that the information I have entered on this application is true and complete to the best of my knowledge.  I further understand that any false, incomplete, or incorrect statements may result in my disqualification from the examination process or dismissal from volunteer employment with The Center for Professional Counseling (The Center for Individual & Family Therapy).  I authorize all agencies to release any information they may have concerning the information provided on this supplemental application.

  • Date*
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