Application | Macedone Counseling

Job Application

We know, we know — most of this is already on your résumé. Think of this as our way of proving we can follow HR directions too. Filling this out might feel repetitive, but consider it your first test in patience and self-reflection — both great job skills here.

Name*

Email*

Address*

Phone*

...this number is...*

Text

Voice

Video Phone

I am applying to be*

Student Intern

Associate level therapist (i.e. ACMHC)

Fully licensed therapist (i.e. LCMHC)

Other

Fluent in (languages):

Resume emailed to cmhcjim@gmail.com*

Yes

No

References

Eligibility

I am legally eligible to work in the United States.

I am at least 18 years of age.

I understand that proof of identity and eligibility to work in the U.S. will be required upon employment.

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that false or misleading information in my application or interview may result in disqualification or termination if employed.

I authorize Macedone Counseling to contact any references or prior employers listed for employment verification.

Date of Application

Job Application

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