CFAM Applicant Form- Therapist

Admin@CenterForActiveMinds.com

Thank you for your interest in the therapist position with The Center for Active Minds!

The work we do is fast-paced, meaningful, and highly rewarding. We are looking for professionals who value transparency, collaboration, evidence-based practice, empathy, and ethical client-centered care. If these values align with how you approach your work, we are glad you found us and appreciate your interest in joining The Center for Active Minds.

As part of our application process, we ask all applicants to complete the steps outlined below. Completion of these steps is required before applicants can move forward to the interview process. Please note that completing the next steps does not guarantee an interview or selection for the position.

Before You Complete This Application:

If you have not already done so, please take a few minutes to learn more about The Center for Active Minds by visiting our website and social media pages before moving forward in the interview process.

Website: www.centerforactiveminds.com
Facebook: @CenterForActiveMinds
Instagram: @center4activeminds

Additional Documents:

Please note that you will need to upload your Resume or CV, and 3 references (at least 1 being an immediate supervisor) before being able to submit this application.

Thank you for your time!

Your Full Name

Your Email Address

Your Phone Number

What is your anticipated start date (or month)?

How did you hear about CFAM, and what specifically interests you about our practice?

What license do you currently hold (e.g., Psychologist, LPC, LCSW)?

If you are not currently licensed, what certification or licensure are you working toward, and when do you expect to receive it?

Where are you currently working?

Why are you looking to leave your current or previous position?

What is your area of specialization (e.g., Autism, depression, Bipolar)?

Who is your ideal client?

(Age, presenting concerns, etc.)

What experience do you have providing evidence-based therapy to clients?

What assessments or measures have you previously used with clients?

Approximately how many clients would you ideally see each week?

What compensation range are you looking for?

Have you ever had your license suspended or revoked, or have you ever been subject to an investigation or disciplinary action related to your professional practice?

Have you ever been arrested for a crime involving dishonesty, substance use, child endangerment, or child abuse? If so, please provide the charges and relevant details.

Resume or CV Please upload your Resume or CV.

Add file

Please upload a file

Professional References Please provide three professional references. At least one of your three references must be a former or current supervisor. For each reference, please include: Name Phone number Email address Organization/place where you know them from Their role/title at that organization.

Add file

Please upload a file

Additional Supporting Documents Please upload any additional documents you would like CFAM to consider as part of your application, such as a cover letter, certifications, or other relevant supporting documents.

Add file

Please upload a file

Next Steps:

Once your application form has been submitted:

Application Review: We will review your completed application and responses.
Follow-Up: You will hear from us within 48 hours regarding the next steps.
Additional Interview Steps: Any additional interview steps, including an in-person interview, will be communicated directly via email.

Interview-related communication: admissions@centerforactiveminds.com

Please note that submitting this form does not guarantee an interview or selection for the position.

Your information will be encrypted.