First Name
Last Name
Email
*
Phone
*
Associate Status
LMSW, CSW-Intern
MFT Intern
CPC Intern
Nurse Practitioner (Provisionally Licensed)
Associate Hours Completed
No hours yet.
Some hours.
More than half my hours.
Other.
Board Exam Status (Check completed - passed)
MSW Exam (ASWB)
MSW Clinical Exam (ASWB)
CPC/ MFT Clinical Exam
What motivated you to apply at Intentional Living Academy?
What specific skills or experiences do you hope to gain during your work with us?
Please describe any previous relevant coursework, volunteer work, or internships?
What are your career goals, and how does this opportunity fit into your overall career plan?
How Do You Handle Receiving Feedback And Criticism?
Describe a project or accomplishment that you are particularly proud of and why.
What do you hope to contribute to our organization during work with us?
Do you have any specific expectations or preferences regarding the type of work or projects you'll be involved in during your work with us?
Do you have any specific schedule needs (nontraditional hours evenings/ weekends, etc...)?
Do you currently have anything on your background that would disqualify you from obtaining a license to practice as a clinician?
Yes
No
I don't know.
Please explain if needed.
If there is anything else you would like us to know and consider about your application? Please share here.
Please upload your resume.
Please upload contact information (name, phone, email) for three references. At least 1 of the 3 needs to be a professional reference.
By providing my contact information, I agree to receive messages from ILA.
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