Name
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First Name
Last Name
Are you able to work for at least 12+ hours per week and a minimum of two days per week?
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Yes
No
Are you able and willing to commit to being employed at DOT Center for a minimum of at least two years?
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Yes
No
Do you have experience providing long-term therapy with clients (over 1 year)?
How long have you been licensed?
What appeals to you about DOT Center and this position?
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What client population would you want to fill your caseload with (include age ranges/categories)? If multiple, include in priority order.
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Examples: Couples, Children 3-12, Adult Children of Alcoholics, POCs, etc...
How would you like this position to fit into your schedule? Any preferred days/times?
Please include any other full or part-time jobs you currently have.
Do you have any experience working in a private-practice-like setting. If yes, please describe, including where and when.
Do you have a clinical consultant? If so, how often do you meet?
What is the main theoretical approach you use when working with clients?
What makes you competent to work with culturally diverse clients, minority populations, and/or interracial couples?
Why are you looking to join this group instead of opening up your own private practice?
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Where do you see yourself in 3 years? What are your long-term career goals?
What is your desired hourly wage or salary?
When are you available to start?
Are you able to work weekends? If yes, include possible available days and hours.
Are you able to work evenings? If yes, include possible days and hours below.