Job Application

Job/Internship Application

Use this form if you are interested in a job or internship opportunity at Zola Counseling Solutions, PLLC. If we have openings and feel you might be a good fit for a position, we will reach out to you for a phone screening or interview.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Format: (000) 000-0000.
LinkedIn
Where are you physically located?

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Please indicate your preference.
ARCHIVED -Please indicate the position you are interested in applying for.

Other
What position are you interested in applying for?
What type of work are you currently seeking?
How did you hear about us
Available Start Date

MonthDayYear
Date
Please list the name, phone and email address for 2 professional references.
Cover Letter
Note: Any application submitted without a cover letter will not be reviewed. Please copy and paste your cover letter in the box.
Upload Your Resume/CV.

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Application Date

MonthDayYear
Date

Clinical Screening Questions
What licensure do you currently have?

Other
What is your initial licensure date?

MonthDayYear
Date
What jurisdictions are you currently licensed to practice therapy?

Other
Will you need clinical supervision?
What is your caseload capacity (number of clients/hours per week)?
What is your current availability to see clients?
What populations and presenting concerns do you have the most experience treating (e.g., trauma, anxiety/depression, couples, adolescents)?
How would you describe your theoretical orientation or clinical approach?
For Clinical Supervisor Applicants Only:
Which states are you board-approved or meet board requirements to provide clinical supervision to provisionally licensed clinicians?

Other
Operations Screening Questions
What hours/days are you available to work?
Do you have prior experience in healthcare administration, medical office operations, or a behavioral health practice setting?
Have you completed formal HIPAA training (e.g., through a previous employer, a certification course, or other formal training)?
Do you have a quiet, dedicated workspace and reliable high-speed internet?
Have you created or contributed to marketing content before (e.g., blog posts, email campaigns, flyers, video)? If so, briefly describe your experience.
This is a primarily remote and independent role. Do you feel comfortable working independently for the majority of your shifts?
Should be Empty: