Christian Counselor Network Application
Minister Care Division
Thank you for your interest in becoming a part of the SNE Ministry Network Community Guide to Helping Resources. In order to get to know you better, please complete the following form. Once completed and reviewed, you will be contacted by Christan Causey, Director of Minister Care, with information regarding next steps.
Name of your practice:
Street Address Line 2
State / Province
Postal / Zip Code
What are your rates?
*Do you participate in a sliding scale or scholarship program?
*What insurance plans do you accept?
*Where did you receive your education?
*Please list your counseling credentials.
*How many years of experience do you have?
*Are you licensed by the state?
*What is your specialty and passion in counseling?
*Tell us a little bit about your personal history. What led you into counseling?
*How does your personal, volunteer or ministerial experience add to your depth and impact of your counseling practice?
*Have you gone through therapy yourself?
*If you have gone through therapy, how has that enriched your practice?
*What is your philosophy on counseling?
*How do you incorporate faith and your Biblical world view into counseling?
*Where have you seen the most success in your practice?
*What ares of counseling do you generally refer to other therapists (areas outside of your counseling competency)?
Please list a Pastoral reference who we may contact.
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