Pre-Interview Questions
Name
*
First Name
Last Name
Email
*
example@example.com
Optional Linkedin Page Link
Number of years in the mental health field
*
What position are you interested in?
*
Licensed Clinician
Pre-licensed Associate
Testing Psychologist
Do you currently have a valid license in California (LMFT, Psychologist, LPCC, LCSW)
*
Yes
No
How many client hours are you able to work weekly?
*
What age groups do you specialize in?
*
3-11
12-18
18-30
30-65
65+
Do you specialize in any of the family treatment modalities?
CBT
DBT
ACT
Motivational Interviewing
Family Systems
For Testing Psychologists, what type of testing do you specialize in?
ASD
ADHD
Neuropsych
What area are you located in?
*
Do you currently do sessions:
*
Telehealth only
In-person only
Telehealth and In-person
Are you open to doing in-person sessions currently?
*
Yes
No
Do you have prior experience working in a private practice?
*
Yes
No
Please upload the mot recent copy of your resume here
*
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