Contractor Questionnaire

Your name

Are you fully licensed in Colorado?

YesNo

What is your license number?

What is your ideal work schedule?

Will you be working at your own practice or another group practice while working at Greenwood Counseling Center?

Our therapists work independently and follow directions easily. Do you feel comfortable being timely with client sessions, notes, responding to emails, and staying organized?

YesNo

Please indicate one of the following:

I am trained in EMDR TherapyI am currently in training in EMDR therapyI am interested in EMDR TrainingI have no interest in EMDR Training

If EMDR Training is completed or you are currently in training, please provide the Name of EMDR Training Organization and Completion Date:

What is your specialty/ideal client?

Why do you want to work in a group practice vs solo? Why GCC?

How many hours per week do you want to work?

What are your income goals?

What are your long term goals 1-3 years from now?

What can you bring to Greenwood Counseling Center that sets you apart from other candidates?

Email

Phone Number