Provisionally Licensed Clinician ALCS Application
Thank you for your interest in joining the Abundant Life Counseling Services team! We look forward to getting to know you.
APPLICANT INFORMATION
Name
*
First Name
Last Name
Gender
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Job Interest and Availability
ALCS has three locations: North Austin (main), Kyle, and Georgetown. Depending on the need, we often require Associates to have hours at multiple locations. Which location is nearest you / would be your preferred location?
Please Select
North Austin (main), TX
Kyle, TX
Georgetown, TX
At which locations would you be willing to work (even though they may not be your preferred location) if asked to maintain hours at multiple locations?
Please Select
North Austin (main), TX
Kyle, TX
Georgetown, TX
There are required meetings for Associates on Tuesdays during the day that are in-person at the North Austin location. These meetings include supervision, staff meeting, and other meetings designed to develop clinical skills, foster mentoring, and build relationships and camaraderie. Since Tuesday is a busy day administratively and staff meeting attendance is required for all staff, therapists who have seniority have arranged their schedules to see clients that day, so office space is very limited. It often happens that Associates have meetings but may be unable to have client hours. In-person attendance is a requirement within the compensation package and are non-negotiable. Before proceeding with this application, please indicate that you understand this requirement and can commit to it.
EMPLOYMENT AND VOLUNTEER EXPERIENCE
Counseling-Related Employment Information
You may also list non-compensated practicum and internship placements here (please specify).
Employer
Position Title
Dates of Employment
Reason for Leaving
Employer Phone Number
Please enter a valid phone number.
Name of Supervisor
Please give a brief description of the place and the types of counseling-related activities and duties you performed during your time working there:
Employer
Position Title
Dates of Employment
Reason for Leaving
Employer Phone Number
Please enter a valid phone number.
Name of Supervisor
Please give a brief description of the place and the types of counseling-related activities and duties you performed during your time working there:
Employer
Position Title
Dates of Employment
Reason for Leaving
Employer Phone Number
Please enter a valid phone number.
Name of Supervisor
Please give a brief description of the place and the types of counseling-related activities and duties you performed during your time working there:
Other Recent Job Experience
Please list any non-counseling-related work experience during the past 3 years.
Employer
Position Title
Dates of Employment
Reason for Leaving
Employer Phone Number
Please enter a valid phone number.
Name of Supervisor
Employer
Position Title
Dates of Employment
Reason for Leaving
Employer Phone Number
Please enter a valid phone number.
Name of Supervisor
Employer
Position Title
Dates of Employment
Reason for Leaving
Employer Phone Number
Please enter a valid phone number.
Name of Supervisor
Volunteer Experience
Organization
Total Hours Served
Role and Responsibilities
Organization
Total Hours Served
Role and Responsibilities
Organization
Total Hours Served
Role and Responsibilities
Organization
Total Hours Served
Role and Responsibilities
Employment and Volunteer Experience Reflection
What have you learned from your employment background and volunteer experience (skills developed, lessons learned, perspectives shaped) that would bring value to ALCS and would assist you in growing a counseling practice?
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ACADEMIC, PROFESSIONAL, AND PERSONAL DEVELOPMENT
Undergraduate Education
Undergraduate School
*
Location of School
*
Major
*
Dates Attended
*
Degree Achieved
*
BA, BS, etc
Date Graduated
*
Cumulative GPA
*
Undergraduate School
Location of School
Major
Dates Attended
Degree Achieved
BA, BS, etc
Date Graduated
Cumulative GPA
Undergraduate School
Location of School
Major
Dates Attended
Degree Achieved
BA, BS, etc
Date Graduated
Cumulative GPA
Graduate School
Graduate School
*
Location of School
*
Major/Degree Track
*
Dates Attended
*
Degree Achieved
*
BA, BS, MA etc
Date Graduated
*
Cumulative GPA
*
Graduate School
Location of School
Major/Degree Track
Dates Attended
Degree Achieved
BA, BS, MA etc
Date Graduated
Cumulative GPA
Professional Development
Type of license you are pursuing
*
LPC
LMFT
LCSW
I have passed the NCE exam
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Yes
No
If you have not taken the NCE exam, when do you expect to take it?
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If applicable, provisional license number (for LPC-Associate/LMFT-Associate/LMSW), date issued, and expiration date
*
Do you currently possess any licenses or certificates issued by any state? If so, please list the name, license/certificate number(s), and issuing state or organization.
*
Specialized Training
(CST, EMDR, EFT, RPT, CSAT, etc)
Please list any specialized training or certifications you currently possess:
*
Please list any specialized training or certifications you are currently pursuing:
*
Please list any specialized training or certifications you plan to pursue, and when
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Academic, Professional, and Personal Development Reflection
How has your counseling coursework, pursuit of specialized training, and / or private therapy contributed to your personal development? How do you continue to nurture your personal growth?
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Our team is a group of carefully selected individuals who, collectively, are able to serve the community better because of one another. We have a trusted reputation that has been built over the years because of the investment and quality care of top-notch clinicians. As you consider whether or not you might be a good fit for us and whether we might be a good fit for you, who you are as a person, as a believer, and as a therapist will be important. The following questions will help us both to determine goodness of fit, and give us a basis for further conversation during an interview, should we both determine we would like to take next steps.
Short Response Questions
Why are you interested in working for ALCS? What drew you to us? Why do you think you would be a good fit here?
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Faith is the common denominator for all of us here at ALCS. Please help us get to know your faith a bit. What's your story and how did you come to know the Lord? (briefly). How is your faith expressed, and how are you different because of it? Are you involved in a local church? If so, please share briefly about your involvement.
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Why do you want to be a therapist?
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What does "Christian Counseling" mean to you? What do you believe are the distinctives of Christian Counseling?
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How do you see yourself implementing faith / spirituality into the counseling process?
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While we at ALCS care about, respect, and grow from one another, working with a team is not always easy. What have you found to be essential in working with a boss? In working with a team? How have you approached conflict in the past with a boss and with peers?
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How would those closest to you describe your personality and how you function within a team (if you have taken personality assessments, feel free to use that in describing yourself)?
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What type of position are you hoping for? Part-time or full-time? How many hours a week would you like to do therapy? How many days a week? Are you available on weekends or in evenings?
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Please list hours of the day you could potentially be available to see clients:
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How many hours would you like to see clients per week?
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How many hours would you plan to be available per week?
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What is the target client base you are hoping to grow (children, teens, individual adults, couples)? What presenting problems do you feel most passionate about working with?
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Would you be interested in leading a therapy group? If yes, what kind(s) of group(s)?
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Please list any employment you plan to continue even if employed by ALCS:
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Please list any outside commitments you plan to maintain even if employed by ALCS:
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Please list any information you think would be helpful for us to know regarding scheduling:
Benefits of this job include us covering overhead costs and marketing and providing administrative support. We are a well-established practice with consistent referrals to help you build a strong practice. You would have the opportunity to learn from top-notch therapists. Our team has giving hearts and we care about one another, value one another's expertise, and support one another. In this context, what unique gifts and experiences would you bring to our team?
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If we determine that you would be a good fit here, but don’t have a position to offer at this time, would you want us to keep your application and resume on hand and contact you in the future when a position becomes available?
Yes
No
Is there anything else you would like to add or elaborate upon?
What questions would you like us to address in an interview?
REFERENCES
Thank you for your thoughtful investment into this process. Please list three references we may call, with at least one from the mental health field, should we move forward with an interview.
Name
First Name
Last Name
Relationship
Phone Number
Please enter a valid phone number.
Name
First Name
Last Name
Relationship
Phone Number
Please enter a valid phone number.
Name
First Name
Last Name
Relationship
Phone Number
Please enter a valid phone number.
Thank you for considering ALCS!
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