RTC Practicum Program Application

Relationship Therapy Center Couples Therapy Practicum Program
Thank you for applying to the Relationship Therapy Center's Practicum Program! This program will develop your skills in the field of couples therapy and fulfill all supervision and clinical contact hour requirements for full LMFT licensure in the state of Minnesota.

There are four parts to the application: Personal Information, Resume/CV, Preliminary Questionnaire, and Video Application. Incomplete applications cannot be processed and will not be considered. This application is due by January 30th, 2023. Any applications submitted after that date will not be considered unless space opens up in the program.

Important: You may use the "back" button to make changes to the application as you work. Once you press "Submit," you will no longer be able to edit the form.

Please direct any questions about this form to fellowship@mncouplescounseling.com.
Part One: Personal Information

Please tell us a little more about yourself here:
Full Name *

First Name Last Name
E-mail *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Graduate School: *
Graduate School Location: *
Please select your field of study: *
If you selected "Other" above, please specify here:
Please list the courses that you will still need to complete once your practicum starts: *
Please list the classes you plan on taking during your practicum: *
Expected Practicum Beginning Date: *

Month Day Year
Date
Expected Graduation Date: *

Month Day Year
Date

Part Two: Resume/CV & References
Upload Resume or CV Here *
Please list 3 professional references, including their contact information and the nature of your professional relationship (eg. professor, supervisor, etc.) *

Part Three: Preliminary Questionnaire
1. Ideally, what hours/days would you like to work? How possible would it be for you to work evenings and/or weekends?
2. Tell us about work/life balance for you, and where you're at on that spectrum.
3. Are you someone that will ask others if you are trying to figure something out, or do you prefer to do it on your own?
4. Scenario: We messed up and scheduled you 8 clients in a row with no breaks. How would you handle this?
5. If you were offered this position, what would be your biggest hesitation in accepting it?
6. What other opportunities are you currently pursuing?
7. What is your ultimate career vision? Where do you hope to be and what do you hope to be doing?
Please answer yes or no to the following questions:
8. I understand that this is a paid position with a 3 year commitment.
9. I understand that this is a full time position requiring a minimum of 40 hours per week.
10. I understand that this is not a fully remote position and that I will be expected to see clients and attend supervision and trainings in-person.
11. I understand that this practicum begins in September 2023 and I will be able to start full-time at that time.
If you have extenuating circumstances that would prevent you from starting on this date, please specify below!
If you answered "No" to questions 8, 9, 10, or 11, please address your concerns below:
12. How did you hear about this practicum opportunity?

Part 4: Video Application
Please create a video of yourself answering the following questions. You can use your phone for this! Please aim to keep your video between 2 and 4 minutes long.

1. What about the praticum program and the Relationship Therapy Center resonates with you?

2. What sets you apart from other candidates?

3. What, if any, restrictions would you have around the practicum program?

4. Where do you envision yourself in 5 years?
Then, please upload your video to YouTube or other video hosting site and copy the link here: *
Please make sure that if you upload your video to Youtube, you set the video to Public or Unlisted so that we are able to watch it!
You are also welcome to send your video directly to fellowship@mncouplescounseling.com. If you choose to do this, please let us know in the text box above so that we know to look for your video in our email inbox!
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Relationship Therapy Center Couples Therapy Practicum Program

Part One: Personal Information

Part Two: Resume/CV & References

Part Three: Preliminary Questionnaire

Part 4: Video Application