Licensed/Limited Permit Clinician Application
Do you want to join our growing team? Please fill in your details below.
First Name
*
Last Name
*
Email Address
*
Position Applying For
*
Please Select
Masters Fieldwork Placement
Limited Permit
Other
Are you looking for full-time or part-time?
*
Please Select
Full-time
Part-time
Either
Are you looking to work virtually or in-person?
*
Please Select
Virtually
In-person
Hybrid
Please use this space to tell us why you'd like to work with us
*
Are you eligible to practice in New York State?
*
Please Select
Yes, I have a NYS LMHC
Yes, I have my NYS Limited Permit
Yes, I am eligible for a NYS Limited Permit
No
Additional Information
Upload your CV Here
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Other Testmonials (e.g Cover Letter, Certificates)
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