Licensed Clinician Application |

Part I: Background Information

Name*

First Last

Email*

Enter Email Confirm Email

Phone*

What Position Are You Applying To:*

What PsychCare Location Are You Looking To Work At?*

When would you ideally like to begin working at PsychCare?*

Is it essential to have health insurance benefits through your job?*

Yes

No

How many hours per week are you able to initially work at PsychCare*

Upload CV*

Max. file size: 256 MB.

Upload Cover Letter

Max. file size: 256 MB.

In the section below please record a video of your responses to the following four questions.

Brief Video Recording*

Comments

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