Employment Interest Form!!

Employment Interest Form!!
Welcome!

We’re so glad you’re interested in joining Your Next Chapter Counseling! While we are not currently hiring, we accept applications on an ongoing basis as we periodically open new positions. We are a passionate and affirming team dedicated to providing compassionate, high-quality mental health care to our community. This form helps us get to know you a bit better, including your experience, interests, and what you’re looking for in a practice. Thank you for taking the time to share with us. We look forward to connecting when opportunities become available.
Basic info
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
What are your pronouns?
TextPhone callEmail
Where do you live currently? *
City, State
YesNo
Do you know any YNC therapists personally? If yes, who?
YesNo
If yes, please explain:
YesNo
How did you hear about us and what made you want to apply for this position? *
CouplesFamiliesBIPOC and/or LGBTQIA+ communityChildren and AdolescentsOther
Please share what draws you to working with the populations you selected above. If applicable, include relevant experience, training, or personal connections that have shaped your interest.
Professional info
Licensure Type & State (LCSW/A, LCMHC/A, LMFT, etc)*
If you are an associate therapist, when do you expect to achieve full licensure?
License Number
NPI number (if applicable)
Years of experience in Mental Health
YesNoI have no idea
Work Preferences and Availability
Full-timePart-timeOpen to either
HendersonvilleAshevilleWaynesvilleTelehealth
What days/times are you available to see clients?
In-person onlyTelehealth onlyBothNo preference
Clinical Focus and Experience
Children 3+Children 5+Children 12+TeensAdultsCouplesFamiliesLGBTQIA+BIPOCNeurodivergentOther
What are your areas of specialty?
(Trauma, Anxiety, Depression, Grief, etc.)
What treatment modalities do you use?
(CBT, DBT, EMDR, ACT, etc.)
Supervision and Licensure Support
YesNo
If so, who is your current supervisor?
(Name and credentials)
YesNoUndecided
Training & Certifications
YesNo
If yes, please list the training/certification and the year completed
YesNo
If yes, please list the training(s) and year completed
YesNo
If yes, please list the training(s) and year completed
Are there any other trainings, certifications, or continuing education courses you’ve completed that align with Your Next Chapter Counseling’s mission and values?
Administrative & Logistics
YesNo
How soon would you be available to start?*
YesNo
If yes, where are you currently working?
Interview Availability
What days/times are you available for an interview? *
Do you require any accommodations for an interview?*
(virtual, elevator, etc)
Practice Values and Commitment to Affirming Care

At Your Next Chapter Counseling, we support ALL members of our community. We strive to provide a welcoming and accepting space for people of all races, ethnicities, neurodivergencies, different abilities, identities, and spiritual beliefs. We are committed to advocacy in our community and using our voices to lift up marginalized populations.We believe that every person is deserving of love, acceptance, and authenticity. We recognize that humans are hardwired for healing, and we strive to provide a therapeutic, supportive environment for all of our clients on their healing journey.
Yes, I wholeheartedly align with these valuesI would like to discuss further before committingNo, I do not align with these values
Is there anything additional you think we should know about you?
YesNo
Please upload your resume *

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If applicable, please upload your cover letter

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Upload any relevant licensure documents (optional):

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Employment Interest Form!!

Basic info

Professional info

Work Preferences and Availability

Clinical Focus and Experience

Supervision and Licensure Support

Training & Certifications

Administrative & Logistics

Interview Availability

Practice Values and Commitment to Affirming Care