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CAREER APPLICATION FORM

What position are you applying for? Select all that apply.
Are you looking for part-time or full-time? Select one.
Are you an independent contractor? Select one.
Do you have a preference for scheduling? Select all that apply.
What is your professional designation? Select one.
Which regulatory body are you registered with? Select one.
Are you qualified to diagnose mental health disorders? Select one.
Do you have professional liability insurance with cybersecurity coverage? Select one.
Do you have a valid criminal record check with a vulnerable sector check that was completed less than 6 months ago?

How many years experience do you have offering mental health services? Enter 0 for areas that you do not have experience.

Upload resume as a PDF.
Upload supported file (Max 15MB)
Upload cover letter as a PDF.
Upload supported file (Max 15MB)

Record a short 20-30 second video to introduce yourself and your WHY?:

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  1. Why are you applying to the position(s) indicated above?

  2. Why are you applying to this clinic specifically?

  3. Why are you applying at this time? Why now?

Upload video.
Upload supported file (Max 15MB)

Complete the Big 5 personality questionnaire using this link and enter your scores here:

Thanks for submitting!

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