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name *
last name *
Phone number *
email *
Country *
City *
Are you currently working *
Yes
No
Workplace name and profile *
Have you received an official license to practice and work with clients? *
Yes
No
Year of obtaining a license
From which organization *
Bachelor's Degree and Place of Study *
Field and place of study of the master's degree *
Field and place of study of the doctoral course *
Write a brief history of your career
Attach your resume *
Max. file size: 10 MB.
Have you experienced analysis or psychotherapy yourself?
If yes, for how long
Have you received supervision for psychotherapy? *
If yes, for how long
What treatment approach do you use in working with clients? *
Do you have the experience of visiting clients online?
Visit your suggested treatment job for 50 minutes *
Given your knowledge and experience, in which of the following areas are you interested in working with our collection? (You can select several items) *
Individual
Couples therapy
Premarital counseling
Kids and teenager
Family Therapy
Sex therapy
If you have a website or page on social networks, please enter your link here
Please post a color photo of your face on the website here *
Max. file size: 10 MB.
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