Potential Hire Form

1

Thank you for your interest in New Beginnings Counseling Team. Please take a moment to answer a few questions for the Clinical Director as we review candidates for hire, press next to continue.

2

Name* This field is required.

First Name

Last Name

3

Email* This field is required.

example@example.com

4

Phone Number* This field is required.

Please enter a valid phone number.

5

What is your current level of experience? * This field is required.

6

I am looking for* This field is required.

Full time Counseling Job

Part time Counseling Job

1099/Contractor Job

Other

7

How did you hear about New Beginnings Counseling Team?* This field is required.

8

What population are you most interested in serving?

Children

Teenagers

Adults

Older Adults

9

What counseling issues are you most interested in working with?

10

Do you have another job that might be a conflict of interest that you plan on keeping while working with our team? If so, please explain.* This field is required.

11

Have you already submitted your resume to tracy.williams.nbct@gmail.com? If you have not, please do so now. * This field is required.

12

Would you like someone to reach out to you to schedule a preliminary meeting to see if you might be a good fit for our team?* This field is required.

YESNO

13

Are you okay with us reaching out to your current boss at this time for a basic reference check, if no, please explain on the next question.* This field is required.

YESNO

14

Is there anything you want our hiring team to know?