Application for Employment

First Name

Last Name

Date of Birth

Phone Number

Best number for us to contact you on

Email Address

Best email address for us to use to contact you with.

Mailing Address 1

Mailing Address 2

City

State

Zip Code

When would you be available to start?

Please upload a cover letter introducing yourself to us.

Add file

Please upload a file

Resume Please upload your resume.

Add file

Please upload a file

Please list all of your credentials below

Please list any specialized training or certifications you have received

Briefly describe your clinical experience below including agency, position, and dates of employment.

What is your clinical superpower? What makes you an excellent clinician?

Salary Expectations

Range

Tell us a little bit about your specialty as a clinician and populations you prefer to work with/ have specialty in.

Tell us about what your areas of growth at this stage in your career?

What makes you a good fit for Safe Talk Space?

Describe your experience in working with marginalized communities.

Email address

Your information will be encrypted.

Safe Affordable Talk Therapy

Safe Affordable Talk Therapy for Everybody that's our Mission. Safe Affordable Talk Therapy is a diverse clinical group of helping professionals that provide in-office and online talk therapy and support services.