MINDAKAMI Application : Therapist

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Please complete the form below.
Position applied*
Trainee:
- An individual who is currently completing their education in the field of counseling or clinical psychology, aiming to obtain a license from LKM/MHAP/MSCP.
- Must have completed or be in the process of completing their internal practicum.
Registered:
- Counsellor or clinical psychologist who is licensed and/ or registered under LKM / MHAP / MSCP.
Email Address*
example@example.com
Phone Number*
+6012 345 6789
Full Name*
Full Name (eg: Izzah binti Anwar, Tan Lai Jit)
Preferred Name*
Everyday name (eg: Izzy, Tan)
Age*

I am a Queer Affirmative Therapist*

YesNo
I am People With Lived Experience (PWLE) or Person With Disabilities (PWD)*

YesNo
Queer Affirmative Therapist means you are comfortable and able to assist LGBTQ+ individuals regardless their sexuality, identity, orientation and/or relationship.

PWLE means you are or were diagnosed with any mental disorder, any kind of neurodiversity, attempted suicide and/or living with trauma (or grief) of losing someone.

PWD means you are a person with physical, mental, intellectual and/or sensory impairments.
Why do you want to join us?*
Available Start Date*

DayMonthYear
Date
Upload Your Resume /CV*

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Other documents (cover letter, portfolio, etc)

Not compulsory but it added bonus to your application!
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Should be Empty:

Start your career with us!