Licensed/Limited Permit Clinician Application
Do you want to join our growing team? Please fill in your details below.
First Name
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Last Name
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Email Address
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Position Applying For
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Masters Fieldwork Placement
Limited Permit
Other
Please use this space to tell us why you'd like to work with us
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Are you eligible to practice in New York State?
Please Select
Yes, I have a NYS LMHC
Yes, I am eligible for a NYS Limited Permit
No
Additional Information
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