Clarity - Clinical Career form

Thank you for your interest in working with Clarity Counseling Center. Our staffing needs are ever-evolving. We encourage you to complete this process even though we may not have a position available at this time. Our hiring process is based not only on location but on clinical specialties, training, and more. The completion of this form allows us to put you in our system so you'll be on our radar for future opportunities. We will contact you for an additional interview when the staffing need arises. Thank you again for your interest.

First Name

Last Name

Email

example@example.com

Phone

Format: (000) 000-0000.

Type of License (MUST be licensed or working toward licensure in North Carolina)

If Provisionally Licensed How many hours/duration remain until full licensure?

i.e., how close/far are you from being fully licensed?

Are you licensed in other states?

If yes, list the other states where you hold an active license.

Years of Experience rendering individual psychotherapy

i.e., How many years of experience do you have rendering individual adult psychotherapy and/or couples therapy?

Location (check all that you are willing to work)

Location1

What type of employment are you looking for?

Are you interested in W2 or 1099?

Are you currently credentialed with any insurance companies, EAP's, or government payers?

Carriers1

Have you or a close family member received services with us?

Will you be bringing clients with you to Clarity?

Tell us about your clinical specialties.

What populations do you geek out on? What special training or certifications do you already have?

Are there any populations that you're opposed to working with from a moral, safety, or competency point of view?

What are your views on therapist self-disclosure as part of the clinical relationship with clients?

CCC believes that good therapy sometimes exists in ethically uncomfortable areas that require wrestling and consultation. Tell us about a time where you had to walk that line.

What has hindsight has taught you? What would you do the same or different?

What is the least favorite thing about where you currently work?

What is the least favorite policy where you currently work?

"Out of This World" Customer Service is one of our guiding principles. If you received a client complaint, how would you handle it?

i.e., what would you do?

Tell us what you know about Clarity and why you think you'd be a good fit for our workplace culture.

Did anyone recommend refer you for this position?

Is there anything else you'd like us to know?

Please attach your resume + three references from previous or current managers, supervisors, or bosses.

Please complete the Predictive Index Behavioral Assessment.

There are no right or wrong answers.

***You do not need to upload results. Once submitted, the results will be sent automatically.***

Clinical Career Form