Name
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First Name
Last Name
Email
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Phone Number
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(###)
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Are you a US Citizen?
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Yes
No
As you seek a new work home, what are you yearning for and what do you need in the workplace to be happy? What gives you a sense of meaning and fulfillment?
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What is it about Hope+Wellness that draws your interest?
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What type of population did you work with during your internship(s) and what types of concerns are you most comfortable with?
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Please select therapy approaches you use in your practice
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ACCELERATED EXPERIENTIAL DYNAMIC PSYCHOTHERAPY
ACCEPTANCE AND COMMITMENT THERAPY (ACT)
ADLERIAN
APPLIED BEHAVIORAL ANALYSIS
ART THERAPY
ATTACHMENT-BASED
BIOFEEDBACK
BRAINSPOTTING
CHRISTIAN COUNSELING
COACHING
COGNITIVE BEHAVIORAL THERAPY (CBT)
COGNITIVE PROCESSING THERAPY
COMPASSION FOCUSED
COMPREHENSIVE RESOURCE MODEL (CRM)
CONTROL MASTERY THEORY
CULTURALLY SENSITIVE
DANCE/MOVEMENT THERAPY
DIALECTICAL BEHAVIOR THERAPY (DBT)
ECLECTIC
EMDR
EMOTIONAL FREEDOM TECHNIQUE/TAPPING
EMOTIONALLY FOCUSED THERAPY
ENERGY THERAPY
ERICKSONIAN HYPNOTHERAPY
EXISTENTIAL
EXPERIENTIAL THERAPY
EXPOSURE RESPONSE PREVENTION
EXPRESSIVE ARTS
FAMILY / MARITAL
FAMILY SYSTEMS
FEMINIST
FORENSIC PSYCHOLOGY
GESTALT
GOTTMAN METHOD
HAKOMI
HARM REDUCTION
HUMANISTIC
HYPNOTHERAPY
IMAGO
IMPACT THERAPY
INTEGRATED BEHAVIORAL COUPLES THERAPY
INTEGRATIVE
INTERNAL FAMILY SYSTEMS (IFS)
INTERPERSONAL
INTERVENTION
JUNGIAN
LIFESPAN INTEGRATION
MINDFULNESS-BASED (MBCT)
MOTIVATIONAL INTERVIEWING
MULTICULTURAL
NARRATIVE
NEUROFEEDBACK
NEUROLINGUISTIC PROGRAMMING (NLP)
OBJECT-RELATIONS THERAPY
PARENT-CHILD INTERACTION THERAPY (PCIT)
PERSON-CENTERED
PLAY THERAPY
POSITIVE PSYCHOLOGY
PROLONGED EXPOSURE THERAPY
PSYCHOANALYTIC
PSYCHOBIOLOGICAL APPROACH COUPLE THERAPY (PACT)
PSYCHODYNAMIC
PSYCHOLOGICAL TESTING AND EVALUATION
RATIONAL EMOTIVE BEHAVIOR THERAPY (REBT)
REALITY THERAPY
RELATIONAL
SAND PLAY
SEEKING SAFETY
SENSORIMOTOR
SOLUTION FOCUSED BRIEF (SFBT)
SOMATIC EXPERIENCING
STRENGTH-BASED
STRUCTURAL FAMILY THERAPY
SUPERVISION SERVICES
TRANSPERSONAL
TRAUMA FOCUSED CBT
TRIPLE P
Please select the 5 statements that best reflect your ideal work life at your dream job and/or your ideal relationship with a job.
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1. While I enjoy my work and feel that I do it very well, I often feel I have to look elsewhere – my home, spiritual life, friends, hobbies, community service – for inspiration or fulfillment.
2. I tend to lose myself in my work. I just feel like I’m in the “flow,” and I lose all sense of time.
3. I like what I do but don’t expect a lot from my work. It just provides what I need to do the other more important things in my life. I enjoy my leisure time more than my work life.
4. My work truly makes a difference in the world.
5. The greatest experience I have at work is when I’m truly recognized by others for what I’ve accomplished.
6. If I had to choose between getting at 10% raise at work or finding a new best friend at work, I’d probably choose the raise.
7. I often feel like the work I’m doing is coming from some greater source than just me. It’s like I’m channeling this energy/talent, and I’m amazed by its power.
8. I’m often not that excited to go to work on Monday morning.
9. My goal in life is to rise to the top of my field.
10. There are moments when I think to myself, “If I were independently wealthy, I’d probably still be doing this work.” I do what I do because I love it.
11. I’ve thought pretty deeply about where my work will take me over the next 10 years and what I need to do to excel in this field.
12. I’m pretty conscious to use my vacation time and sick days off so I can create more balance and ensure that work doesn’t dominate my life.
13. I often feel like my work allows me to show the “real me.” My work lets me use my deepest creative gifts.
14. I think work is overrated when you consider what percentage of our lives we spend working as compared to enjoying life. I don’t think much about work when I’m not there.
15. I will do what it takes to become a success in my work.
Describe your therapeutic approach and relationship with clients in the therapy room. What mechanisms/factors are required for change to occur within therapy?
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What is your ideal population/concerns you would like to work with during residency? (e.g., children, teens, young adults, depression, anxiety)
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What are your long term goals (1-3 years out)? Personally and/or professionally.
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What can you bring to Hope+Wellness that sets you apart from other candidates?
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Tell us about your personality. How would colleagues describe you? How would you describe your strengths? What is your Myers Briggs personality type (e.g., INTJ) (if you know it)?
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What are 3-4 areas of growth you would like to work on during Clinical Supervision?
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What are the most important aspects of clinical supervision for you? What would you consider to be a good fit?
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Are you available to work nights and/or weekends? Due to our clientele and population, therapists are expected to be able to work a few nights per week. Please discuss your ideal schedule.
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Are you available to work (seeing clients) at least 25 hours per week?
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Yes
No
Hybrid Telehealth and In Person positions are available. Are you potentially interested in being available for in person sessions?
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I am open to hybrid telehealth/in-person positions
I am open to in person positions only
I am open to telehealth positions only
Our clinicians are able to work independently and follow directions easily. Do you feel comfortable working independently and being able to follow through on scheduling your existing clients, taking copays or payment, keeping notes accurate and timely, responding to emails in a timely fashion, and staying organized?
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Yes
No
What is your salary history and expectation?
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Please list the names, contact information, and titles of at least three clinical supervisor references (at least one must be from internship).
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