Mental Health Counselor
Part-time/Full-time
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Best way to contact you?
*
Please Select
Phone
Email
Earliest Possible Start Date
-
Month
-
Day
Year
Date
What license do you currently hold in Kentucky?
*
If you are fully licensed in the State of Kentucky, when did you first become fully licensed (year):
How many years of experience do you have in private practice?
*
Please Select
0-1yrs
1-3yrs
3-7yrs
7yrs+
At Mindful Mending, we are focused on working with trauma across the lifespan as well as specialize with children. Which of these areas are you interested in working in?
*
Trauma Work
Children
Teens
Adults
In numbers, please list the age range you WANT to work with (ex. 0-99). Do not respond with "kids, teens, adults." Age range only.
*
We offer both in-person and telehealth environments. Which best meets your criteria for employment?
*
In-person only
Hybrid (telehealth and in-person)
What position are you interested in working?
*
part-time (available 25 hrs per week; 20 clinical hrs per week)
full-time (available 30 hrs per week; 25 clinical hrs per week)
To remain accessible to our clients’ schedules, we require clinicians to offer availability after 4 PM and/or on weekends. (total of 6 hours each week)
*
I can be available after 4pm
I can be available on the weekends
Both
We understand that you have many options in the area. Why are you interested in working with Mindful Mending?
*
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*
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