Apply With Us! Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDo you have either a full or provisional license? If yes, select type, or select "No" if none.Licensed Professional Counselor (LPC)Provisionally Licensed Professional Counselor (PLPC)Licensed Clinical Social Worker (LCSW)Licensed Master Social Worker (LMSW)Licensed Psychologist (PhD or PsyD)NoneLicense number, if applicable: If provisionally licensed, do you need licensure supervision?YesNoN/AIs your license in good standing and free from disciplinary actions?YesNoN/AWhat type of position are you looking for?Contracted PositionPart-TimeFull-TimeInternship/PracticumAny (No Preference)What is your work schedule preference?Daytime During the WeekWeeday Afternoons or EveningsWeekendFlexible (No Preferences)What is your availability for scheduling an interview? How did you find out about this position?IndeedSocial Media (i.e. Facebook)Radio/TV AdSearch EngineOtherIf otherUpload your resume: * Click or drag a file to this area to upload. Upload your license, if applicable: Click or drag a file to this area to upload. Upload your cover letter, if applicable: Click or drag a file to this area to upload. Additional InformationSubmit Call Us if you have any questions or need any help!
