Name * First Name Last Name Email * Graduation date from masters program * MM DD YYYY Are you licensed in the state of Illinois? * What clinical licensure do you have? * How long have you had your clinical license? What hours are you available? * Are you looking for a full-time or part-time position? And Are you interested in a hybrid schedule or strictly virtual/in-person? * Part-time (10 clients/week) & Full-time (20 clients/week) Are you currently paneled with any insurance companies? If so, which ones? * Do you have a pre-established caseload? * If so, please indicate how many clients you see currently. Tell us about your comfort level working independently * This includes scheduling and communicating with your existing clients, completing notes in an accurate and timely manner, responding to emails in a timely fashion, and staying organized. Do you have any specialized training or specific area of focus? * Include any certifications, previous experience, or other relevant information about your specialties. What else would you like us to know? Thank you for your application!
