Apply for Mental Health Counselor

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:Mental Health Counselor
ID:2970
Industry:Healthcare
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Home Phone:
* Email:
Attachments
Resume:
Supported formats: Word, PDF, RTF, Text, and HTML.
  - or Upload from:
 
Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
Licensure
Please respond to the questions about your practitioner license with "yes" or "no."
* Are you a licensed practitioner?
Yes
No
* Is your license expired?
Yes
No
Language
Please respond to the questions regarding language ability.
* Are you able to speak and write in English?
Yes
No
* Do you have additional language capability?
Yes
No
If yes, please specify your additional language capability.

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