Post-Graduate Associate Program Application Concord Center

Post-Graduate Associate Application

Application Form PART I
Application Instructions:

This application will allow you to save and return to it at a later time. Please be sure to select the save button if needed, and you will see a pop-up indicating you have been sent an email link to finish at a later time.

We recommend reviewing the whole application before starting to fill it out. It is often helpful to type your answers in a word document and copy them over when you are ready to complete the application in its entirety. You will need the name and contact information for three(3) references and will also be required to upload the following:
- Resume
- Letter of Recommendation
- Proof of degree completion (or unofficial transcript if not yet done)
- Proof of Associate status or application, if applicable
After you submit, a member of our team will reach out to you to schedule an interview within two to three weeks.

Associateships typically start late summer/early fall or first week of January each year. We do sometimes accept associates on a rolling basis depending on availability.

If you have any questions, please reach out to cbcp@nu.edu
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone

Area CodePhone Number
Home Phone

Area CodePhone Number
Email Address*
BBS Registered Intern #
If you have not yet received your Intern Number please write N/A in the text box above
Or Psychological Assistant #
If you have not yet received your Psychological Assistant Number please write N/A in the text box above
Ethnic/Cultural Background (optional)

African-American or BlackAsian Pacific IslanderCaucasianHispanic/LatinoSouth East AsianNative AmericanPrefer not to ReplyOther
Applicant Eligibility Information

Application Form PART II
DEGREE INFORMATION - University Name:*
Degree Program:*
Degree Conferral Date:

MonthDayYear
If you are interested in applying to more than one JFKU Community Counseling Center, please select the other location(s) to which you would like to apply.

OaklandSunnyvale
TRAINEE/ASSOCIATE FIELD PLACEMENT HISTORY
Language Proficiency

Application Form PART III
Threshold languages in Bay Area Counties are listed below. If you speak another language, please select any of the following options that apply to you.

SpanishTagalogCantoneseMandarinVietnameseFarsiKoreanI do not speak, read or write in any other languages besides EnglishOther
JFK University has adapted definitions of language fluency based on the Interagency Language Roundtable (ILR) Scale, which is used by the federal government. The ILR Scale is designed to help guide applicants as they assess their language proficiency. Applicants should check the appropriate box, based on their self-assessment of language proficiency.

Click here for Language Proficiency Definition
Please select the appropriate box based on your self-assessment of language proficiency:

Elementary ProficiencyLimited Working ProficiencyProfessional Working Proficiency - I wouldn't conduct therapy in this language, but I could communicate with parents/guardians or other providers in this languageFull Professional Proficiency - I could conduct therapy in this languageNative or Bilingual Proficiency - I could conduct therapy in this language
Applicant Eligibility Information - Essays

Application Form Part IV
Describe your experiences working with marginalized and diverse communities, in community mental health, and social justice? If you have not had this type of experience in your previous practicums or associateships, then discuss why you are seeking this kind of experience in applying for this associateship and what will you offer. *
Describe how your background, lived experience, education, associateships and/or work experience shaped your understanding and response to the varied needs of mental health consumers. How have these experiences prepared you to work with the consumers and families?*
What do you see as your areas of strength in this field? What have you identified as your challenge areas? How would you describe your experience of previous supervisors that most contributed to your growth as a therapist?*
Post-Graduate Associate Program Application

Application Form PART V

What therapeutic areas, populations, and theoretical orientations have you worked within or throughout your training? Check all that apply.

	Please Select
Adolescent psychology
Affairs
Anxiety disorders
Aging and related issues
Attention deficit disorder
Bereavement/grief counseling
Blended Families
Child abuse
Childhood issues
Chronic Pain and Illness
Co-occurring Disorders
Codependency issues
Couples and/or Family
Crisis intervention
Depression
Disordered Eating
Divorce/separation issues
Domestic violence
Elder Abuse
Expressive Arts Therapy
Foster care/Transitional Youth
Gay/lesbian issues
Gender identity
Group therapy
Health/physical disabilities
Hearing impaired
HIV/AIDS
Issues of Homelessness
Learning disabilities
Life management counseling
Marriage & family therapy
Men's issues
Mood disorders
Obsessive-compulsive disorder
Occupational issues
Pain management
Parenting issues
Peri-Menopause/Menopause Issues
Personality disorders
Play Therapy
Post-Partum Depression
Post-traumatic stress disorder
Psycho-educational talks/workshops
Psychological testing
Sexual dysfunction
Sexual/physical abuse
Stress management
Substance abuse
Women's issues
Other:
Populations
Adolescents
Adult/Individuals
Children
Couples
Family
Groups
Seniors
Attachment
Cognitive Behavioral Theory
Dialectic behavioral therapy
Existential/Humanistic
Family Systems
Gottman Couples Therapy
Group Theory
Psychodynamic

Please elaborate on the choices you selected above*
Post-Graduate Associate Program Required Documents

Application Form PART VI
Important Note

You must submit your resume in order for your application to be complete.

Our JFK University Counseling Centers accommodate working interns by having extended evening hours and Saturdays available to you at each one of the Centers. However, you will still need to make arrangements with your employer/family to be available to participate in required clinical supervision, didactic training, community meetings, workshops and other center responsibilities in addition to working with your Center/Community-based clients. The hours expected of you per week, while in practicum, are 20-25 hours. Please plan accordingly.

If your contact information changes after submitting your application, please notify the site to which you are applying as soon as possible to ensure that you receive important communications. Contact Information for each JFKU Community Counseling Center in Concord. When calling, please ask for the Administrative Coordinator.
Please note:

You must submit your resume in order for your application to be complete. A full-time associateship in our program is 20-25 hours per week. Alternate requests will be considered.

If your contact information changes after submitting your application, please notify cbcp@nu.edu.
Upload Resume*

Upload a File
Resume must include all clinical practicum/associateships Cancelof
Upload Letter of Recommendation*

Upload a File
(1) Letter of Recommendation from either a graduate-level instructor or clinical supervisor most familiar with your clinical abilities Cancelof
Upload Proof of Degree Completion*

Upload a File
Please provide a Copy of your Degree if you have graduated or submit an unofficial transcript Cancelof
Upload Proof that you have Completed and Submitted the Associate Registration Application

Upload a File
Only if you have applied for your Intern Number Cancelof
If you have not applied for your Intern Number, Please Indicate the Reason:

Have Not GraduatedOther
In addition to the above documents, please keep in mind that at the start of your employment we will require:
- Proof of Department of Justice (DOJ) Clearance (Live Scan Fingerprinting)
- Proof of Tuberculosis (TB) Testing Clearance
- Proof of Malpractice Insurance
Thank you for applying to the Community-Based Counseling Program at the JFK School of Psychology & Social Sciences(JFKSOPSS) at National University.

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Post-Graduate Associate Application

Applicant Eligibility Information

Language Proficiency

Applicant Eligibility Information - Essays

Post-Graduate Associate Program Application

Post-Graduate Associate Program Required Documents