RCG Therapist Applicant Pre-Screening

Therapist Applicant Pre-Screening

Thank you for your interest in Reflections Counseling Group! This is a pre-screening used to determine if you will move forward to the interviewing process. Please complete this form in its entirety or your application will be voided from the hiring process.
Name:*

First NameLast Name
E-mail Address:
Phone Number:*

Area CodePhone Number
What license do you currently hold?*
If pre-licensed (recent graduate and/or have taken your examination) how soon do you anticipate being licensed?
Do you feel comfortable working with couples and families?

YesNo
Do you currently work at a private practice and/or have private practice experience?

YesNo
Do you have an identified niche or ideal client?*
This is not a deterrent but helps us ensure hiring for the current needs of the practice. We are an inclusive practice and work with all demographics and ages, however, we want our therapists to work with clients they feel skilled and comfortable working with. Don't be shy in advocating for yourself!
What age groups do you feel most comfortable working with?

Children aged 3+Seniors 62+Children aged 5+Families and couples of all agesAdolescents aged 14+Adults 18+
Reflections Counseling Group is LGBTQIA+ affirming, anti-racist, and committed to working in communities of color, are you comfortable working with these populations and/or communities?

Type option 1Type option 2Type option 3Type option 4
Do you hold any special training(s) and/or certification(s)? If not, answer N/A*
How did you hear about Reflections Counseling Group? If someone referred you, we want to say thank you!
Why are you interested in employment with Reflections Counseling Group?*
Are you able to commit to at least 3 days per week with availability for a minimum of 15 client sessions per week?

YesNo
I have completed the application in entirety with no unanswered responses. *Incomplete pre-screening applications will not be considered for employment.*

Yes
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