Mental Health Counselor
Part-time/Full-time
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
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
Both
We offer both in-person and telehealth environments. Which best meets your criteria for employment?
*
In-person only
Telehealth only
Both
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)
Are you available to work evenings (seeing clients 4pm-later, at least 6 hours per week)? Or weekends (at least 6 hours per week)?
*
I can see clients 2 evening per week (at least 6hrs)
I can see clients 3 evenings per week (at least 6hrs)
I can see clients 1 weekend per week (at least 6hrs)
I can see clients 2 weekends per week (at least 6hrs)
I can see clients with a combo of weekday evenings and weekends (at least 6 hrs)
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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