Please answer the questions below to complete your application. Full Name * First Name Last Name Email * Phone * Country (###) ### #### What role are you interested in? Practicum Student Placement Clinical Associate Preferred Starting Date * MM DD YYYY What is your undergraduate degree, university, and year of graduation? What work experiences have you had? If you are currently completing your graduate degree, which university are you attending? What degree are you pursuing and when do you expect to graduate? (month and year) Have you completed all course work? If not, which courses still remain? What client-base are you willing to work with? (individuals, couples, age ranges, groups, etc.) What presenting issues are you interested in counselling? What experience have you had as a counsellor so far? Do you feel able to see clients independently already or will you need support prior to that? On a scale of 1-10, how comfortable and confident do you feel in counselling a client on your own? (10 is very comfortable and confident in your skills) Each graduate program is different in terms of the number of direct supervision hours required and the number of indirect supervision hours required. How many direct, one-on-one supervision hours do you require? (e.g. includes video or audio recordings of client sessions) Which session types are you comfortable offering? (e.g. online sessions, groups, in-person sessions, online) How many counselling hours per week are you needing / hoping to get? How many indirect supervision hours do you require? (e.g. Group supervision, case consultation, etc.) How many counselling hours in total do you require in your practicum? What are your career goals post-graduation? Will you be pursuing a professional designation? If so which one? How did you hear about us? Your application was submitted succesfully! We sincerely thank you for your interest in working with us. We will follow up over the next three days over email. Talk soon, Ana Cancian - Founder at Fluxo Psychotherapy
