Application for Employment

Box Elder Behavioral Health is a small, family-owned private practice that provides therapy to our clients, primarily via telehealth. We serve children (ages 10-17) and adults with a variety of needs and challenges. We are looking for experienced, compassionate, skilled professionals with a passion to serve senior citizens, women and the LGBTQ community. We are a fully remote company, but actively working to add in-person services.

First name

Last name

Email address

Phone number

License(s)

Please list each STATE where you are licensed to practice. For each, please also provide your LICENSE NUMBER and EXPIRATION DATE. (LPC candidates only - If you are not yet licensed, please indicate.)

Please list:

What strengths would you bring to the practice?

How do you envision fitting in with our practice and its goals?

Professional References

Please provide the names and contact information of three professional references.

Reference #1

Reference #2

Reference #3

Cover Letter & Resume

Please upload your cover letter and resume as PDF files.
Please be sure your resume includes applicable education and work history.
LPC candidates only, a copy of your malpractice insurance policy is required.

Cover Letter Please upload PDF of cover letter.

Add file

Please upload a file

Resume Please upload a PDF of your resume.

Add file

Please upload a file

Malpractice Insurance For LPC candidates ONLY - Please upload a copy of your policy

Add file

Please upload a file

Your information will be encrypted.

Application for Employment

Box Elder Behavioral Health LLC