Wimberley Wellness Psychotherapist Application (W-2) First Name Last Name M.I. Phone Email Address Maryland License Type LMSW LCSW-C Therapist here will have flexibility to work in-office and at home. However, an important offering of this practice is in-person, in-office therapy. Meetings for supervision and team case-consultation work will also generally be in-person. Are you comfortable with this and willing to provide in-person, in-office therapy for any of your clients who request it? Yes No (Please explain) If you answered no to the question, please explain here. What interests you in the work of therapy? Why did you become a therapist? Background Check & Data Collection By checking here, I understand that employment is contingent on passing a background check and legal eligibility to work in the United States. I also acknowledge that the data I submit here will be kept confidential and will never be sold, shared, or used by Wimberley Wellness for anything other than hiring and employment purposes. Upload PDF Resume Digital Signature Submit
