First Name

Last Name

Phone *

Pronouns

Which location are you interested in?

The Woodlands

Spring

Virtual

What attracts you to our practice? Why us instead of another position or practice?

Choose your preferred employment status.

Full-time (25 direct client hours/32-40 total hours)
Part-Time (total 20-25 hours)

Friend/Colleague who sent you this position

How would you describe your personality?

We are looking for applicants that can grow and advance with us over time. What are long term career goals you have for yourself? How can we help you in reaching those goals?

What is most important to you in obtaining a new position. Please be honest! This will help us determine if our practice can meet your needs at this time.

I would rather get paid the highest possible amount and make sure that my own clients are scheduled, have active insurance, documentation is completed timely, secure my own referrals/clients, and be paid when the company gets paid for my service.

I would rather get paid a lesser but competitive flat billable rate but have help from the office staff with verification of insurance, scheduling, have someone market me and my areas of interest and specializations, and be paid every two weeks based on the sessions I provide.

I would rather get paid a set and stable salary, work at the office 32-40 hours per week and see the clients that are put on my schedule.

Are you currently licensed in Texas?

Yes

Applied

Are you licensed in any other states?

True

False

After browsing through our website, please describe how you align with our company values and how you see yourself contributing to the mission of our team in the space below.

What specific perinatal mental health certifications or specialized training have you completed?

Could you describe your experience working with clients during the preconception, pregnancy, and postpartum periods?

Describe your current team. What do you like and dislike?

What is your understanding and experience of evidence-based modalities?

References-Please provide the contact information of at least three professional references (name, email and phone number)

What is your experience and/or interest in running groups?

If other, please list here:

What is your ideal work schedule? What is your availability currently? We may require evenings.

Please upload you resume

Email *

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