Name

First Name

Last Name

Credentials and License Number

Email

Phone

(###)

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*Pre-Licensed Clinicians Only

If you are a pre-licensed clinician, please share the name and contact information for your current supervisor.

Please share a bit about yourself and your current work.

What are your areas of clinical interest? Who are the clients that you are most interested in working with? What client populations would you prefer to not work with at this time?

What are you looking for in a group practice?

Professional References

Please provide two professional references. Be sure to include their full name, email address, phone number and credentials.

Let’s Work Together

If you are interested in joining the Rosewood Integrative Counseling team, please upload your resume and tell us a bit about yourself and your work.