Thank You For Your Interest In A Therapist Position!
Please answer the questions below and someone will be in contact with you soon.
Name
*
First Name
Last Name
Phone Number
*
Email
*
example@example.com
Are you licensed or a registered Associate in California? Do you have an active California license or Associate number?
*
How many hours toward licensure have you completed so far?
*
What is your ideal caseload?
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Are you willing to see a caseload of 10-20 clients/week and are you able to build to that caseload over time?
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Yes
No
What's your preferred trauma therapy modality and why?
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Are you comfortable working with teens? How about couples?
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Would you be comfortable offering walk and talk sessions?
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Yes
No
Other
Where do you live currently and how do you feel about seeing clients in-person in Hermosa Beach?
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Do you have another job or supervisor? If yes, please provide more info.
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Are you trained in EMDR or enrolled in a basic training for EMDR?
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Yes, I am EMDR basic trained.
Not yet, but I am enrolled in a training.
No
Other
If you are EMDR trained or completing EMDR training, what organization provided (or is providing) your training? Is it an EMDRIA approved training? When were you trained/enrolled in training?
*
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