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Menu
Home
About
Our Team
What We Do
How We’re Unique
How We Work
Employment Opportunities
Locations
FAQ
What to expect
How to Pick a Therapist
Schedule an Appointment
Tour
FAQ
Partnerships
Churches
Businesses
Schools
Sponsorships
Resources
Workshops & Support Groups
Intensive Application Form
Podcasts
Blog
Connect
Application Form
Application for Employment
We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a non-job related to medical condition or handicap, or any other legally protected status.
Step
1
of
9
11%
Today's Date
(Required)
MM slash DD slash YYYY
Type of Employment Requested
(Required)
Administrative
Therapist
Student
Other
Other
Name
(Required)
First
Last
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Ã…land Islands
Country
Phone
(Required)
Email
(Required)
Have you ever filled out an application with us before?
(Required)
Yes
No
Please provide date of application
MM slash DD slash YYYY
Have you ever been employed with us before?
(Required)
Yes
No
Please provide date(s) of employment
Have you ever been a student intern with us before?
(Required)
Yes
No
Please provide date(s) of internship
Are you currently employed?
(Required)
Yes
No
May we contact your present employer?
Yes
No
On what date are you available to begin employment?
(Required)
MM slash DD slash YYYY
What days & hours are you available?
(Required)
What is your pay & benefit requirement?
(Required)
Can you travel if the job requires it? (Is your schedule flexible?)
(Required)
Yes
No
Are you able to work evenings?
(Required)
Yes
No
Have you ever been convicted of a felony? (Criminal background checks required prior to employement)
(Required)
Yes
No
Please explain:
Undergraduate Education
Undergraduate School Name & Location
Degree Received
Number of Years Completed
1
2
3
4
Other
Other
Describe Course of Study
Describe any specialized training, internships, skills, and extracurricular activities.
Describe any honors you have received.
State any additional information you feel may be helpful to us in considering your application.
Graduate Education
Graduate School Name and Location
Degree Received
Number of Years Completed
1
2
3
4
Other
Describe Course of Study
Describe any specialized training, internships, skills, and extracurricular activities.
Describe any honors you have received.
State any additional information you feel may be helpful to us in considering your application.
Other Skills
Indicate any foreign languages you can speak, read, and/or write.
List any best practice models in which you are certified/trained and tell which year you received that certification/training. (You may exclude memberships which would reveal sex, race, religion, national origin, age, ancestry, handicap, or other protected status.)
Community Involvement
Indicate what community committeees, volunteer activities, and/or boards you are or have been involved with in the past 5 years.
References
Name
Nature of your relationship
Address
Phone
Actions
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Employment Experience
Employer
Phone
Job Title
Dates Employed
Actions
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Entries.
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Maximum number of entries reached.
Please add at least three previous employers.
Special Skills & Qualifications
Summarize special job-related skills and qualifications acquired from employment or other experience.
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