Christian Counselor Application Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country What is your highest level of education? * Diploma or GED Some College AA/AS BA/BS Masters Doctorate Do you have a degree in Counseling, Psychology, Social Work, or a related field? * Yes No Have you obtained state licensure or certification as a therapist? If so, please provide details. * Have you received any specialized training or certifications in specific therapeutic modalities or populations? * How many years of counseling experience do you have? * Are you legally eligible to work in the United States? * Yes No Have you worked in any specific settings (e.g., private practice, mental health clinics, hospitals, schools)? Please explain. * Describe your experience working with diverse populations and presenting issues. * What therapeutic modalities or approaches do you primarily utilize in your practice? * Can you provide examples of successful interventions or treatment plans you have implemented? * How do you establish rapport with clients and create a safe therapeutic environment? * Describe a challenging client interaction and how you handled it. * How do you ensure client confidentiality and adhere to ethical guidelines in your practice? * What motivates you to work as a therapist? * How do you handle stress or burnout in the counseling profession? * Have you ever faced disciplinary action or complaints related to your counseling practice? * Yes No Are you available to work evenings to accommodate clients' schedules? * Yes No Are you open to providing teletherapy services or working with online counseling platforms? * Yes No Are there any specific populations or issues you are particularly passionate about working with? * How do you integrate faith into your counseling practice? * How has your walk with Jesus matured since you first believed? * Are you connect with any Christian ministries? Please explain. * Please share a testimony of yours with us. * Why would you like to partner with us? * Your application has been successfully submitted.
