🌿 Thrive Boulder Therapist Application Form 🌿 Join our group practice and focus on what you do best—therapy. We’ll take care of the rest. Full Name First NameLast Name Email example@example.com Phone Number Please enter a valid phone number. Preferred Pronouns Date of Birth -Month -DayYearDate Years of Experience Licensing & Clinical Info? Licensed in ColoradoPre-licensed / Candidate for licensureLicensed in another stateOther What is your credential or degree? (e.g., LPC, LCSW, LMFT, PsyD, LPCC, etc.) Please list any relevant certifications or qualifications Any specialties or populations you’re passionate about? e.g., trauma, LGBTQIA+, grief, somatic work, neurodiversity What is your clinical focus or interest area? (Check all that apply) IndividualsCouplesChildrenTeensFamiliesGroupsOther (please describe) Please briefly describe your previous experience as a Clinician: What kind of work environment are you seeking? In personHybridRemote/Telehealth only Do you speak any languages in addition to English? Why does Thrive feel like a good fit for you? How did you hear about this job opening? Please Select Job Board Company Website Referral Other Upload Cover Letter Browse FilesDrag and drop files here Choose a file Cancelof Upload your CV or Resume Browse FilesDrag and drop files here Choose a file Cancelof Anything else you’d like us to know? Submit Should be Empty:
