Join Our Team at The Well Woman
Full Name
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Phone
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Address
City
State
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How did you hear about this position?
Indeed
LinkedIn
The Well Woman website
Social Media
Alumni Listserv
Thank you for your interest in working at The Well Woman. Why did you choose our practice?
Why are you choosing to work for a group practice vs starting your own private practice?
What unique contributions do you feel you would bring to our team and practice?
What are three words that your co-workers would use to describe you and why?
Are you fully licensed as an LCSW, LPC, LMFT, or LP in the state of Georgia?
Yes
No
If you are fully licensed as an LCSW, LPC, LMFT, or LP in the State of Georgia, what year did you first become fully licensed?
Which license do you currently hold?
LCSW
LPC
LMFT
LMSW
LP (Licensed Psychologist- PhD)
None
How many years of experience do you have in Private Practice?
Are you interested in working full-time or part-time?
Full-time (30 hours, 25 client hours per week)
Part-time (Minimum 15 client hours per week)
What is your preferred clinical orientation or modality?
Please tell us about your specialty/niche(s), and which populations you enjoy working with the most.
What questions do you have for us at this time?
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