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Locations
Libertyville – 1580 S. Milwaukee Ave., Suite 105
Northbrook – 900 Skokie Blvd.
Park Ridge – 1400 Renaissance Dr.
Skokie – 8707 Skokie Blvd.
Contact
We Are Hiring
Licensed Clinical Therapists
Billing and Insurance Coordinator
Intake and Scheduling Coordinator
Home
About
Our Therapists
Our Services
Press
FAQ
Speaking Events
Testimonials
Client Login
Blog
Locations
Libertyville – 1580 S. Milwaukee Ave., Suite 105
Northbrook – 900 Skokie Blvd.
Park Ridge – 1400 Renaissance Dr.
Skokie – 8707 Skokie Blvd.
Contact
We Are Hiring
Licensed Clinical Therapists
Billing and Insurance Coordinator
Intake and Scheduling Coordinator
Licensed Clinical Therapist Application
Yes. I'm interested in a clinical therapist position at North Shore Family Services!
Date of Application:
*
Name:
*
First
Last
Please list any additional names you have used professionally. If there are no other names, you may skip this question.
First
Last
Position Applying For:
*
Email:
*
Enter Email
Confirm Email
Phone:
*
How did you hear about us? (Please be specific)
*
Illinois Professional Licensing Credentials:
*
Check all that apply.
LSW
LCSW
LPC
LCPC
ALMFT/AMFT
LMFT
PsyD
PhD
Illinois Professional License Number:
*
If you are not yet clinically licensed in the state of Illinois, when will you be eligible to take your clinical licensing exam?
Years of experience in this particular field:
*
Years of clinical experience working with the populations we serve:
*
Have you sent us your resume?
*
Yes
No
Thank you for sending your resume! We will review it shortly!
Please send your resume to: application@northshorefamilyservices.com.
What client ages do you have experience treating?
*
Check all that apply.
Children: 3 to 6
Children: 7 to 9
Tweens: 10 to 12
Adolescents: 13 to 17
Adults: 18 to 24
Adults: 25 to 34
Adults: 35 to 49
Adults: 50 to 64
Adults: 65+
What client ages do you enjoy treating?
*
Check all that apply.
Children: 3 to 6
Children: 7 to 9
Tweens: 10 to 12
Adolescents: 13 to 17
Adults: 18 to 24
Adults: 25 to 34
Adults: 35 to 49
Adults: 50 to 64
Adults: 65+
What client presenting challenges do you enjoy treating?
Check all that apply.
ADHD
Adoption
Anxiety
Behavioral concerns
Communication/relationships
Depression
Divorce
Eating Disorders
Executive Functioning
Fertility/Pregnancy
Gender identity
Grief/Loss
LGBTQ+
Men's Issues
Social Skills
Substance Abuse/Addiction/Dependence
Trauma
Women's Issues
I enjoy working with:
Check all that apply.
Individuals
Families
Couples
Parents
Groups
What clients do you prefer NOT to treat and why?
*
What does your current/most recent position offer that you also seek in your next position?
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What are you seeking in your next position that your current/most recent position does not offer?
*
Please describe any concerns you have about working in a private practice (note examples from previous work settings, if applicable).
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What private practice experience do you have?
Check all that apply.
I have never worked in a private practice.
I currently own my own practice with our without partner(s) and/or employees/independent contractors.
I have owned my own practice with our without partner(s) and/or employees/independent contractors, but do not currently.
I have worked at a private practice as an independent contractor (1099), but do not currently work at that practice.
I have worked at a private practice as an employee, but do not currently work at that practice.
I currently work at a private practice as an independent contractor.
I currently work at a private practice as an employee.
If offered a position at North Shore Family Services, would you prefer to continue owning/working at your current practice or do you anticipate phasing out/leaving your current practice? Why or why not?
Why did you leave private practice previously? And, what has motivated you to consider working at a private practice again?
When working in a clinical capacity, how many clients do you typically see in a week?
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How many clients would you prefer to see in a week?
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At North Shore Family Services, we offer flexible scheduling to meet our staff's personal and professional needs. Because we serve children, adolescents, and many working adults, our most requested appointment times are weekdays between 3 PM and 8 PM, as well as weekend times. Many clinicians choose to offer additional daytime appointments that are filled at a slower rate, while others choose to only offer appointment times during our busiest times. What days/times are you available to work at North Shore Family Services? Please be specific (include days of the week, time frames, minimum/maximum number of client sessions you are seeking).
*
Are you able to offer HIPAA-compliant teletherapy sessions?
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Yes
No
Are you able to offer in-office sessions?
*
Yes
No
We anticipate continuing to offer both in-office and HIPAA-compliant teletherapy, as we meet the needs and preferences of our clients. Please note your response to this statement. I would prefer to work:
only in-office
only teletherapy
combination of in-office and teletherapy sessions
only teletherapy now, but combination of in-office with teletherapy in the future.
Under what conditions, if any, would you be willing/able to see clients in the office?
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First Choice:
*
Northbrook
Skokie
Park Ridge
Libertyville
Teletherapy Only
Second Choice:
*
Northbrook
Skokie
Park Ridge
Libertyville
Teletherapy Only
Third Choice:
*
Northbrook
Skokie
Park Ridge
Libertyville
Teletherapy Only
Fourth Choice:
*
Northbrook
Skokie
Park Ridge
Libertyville
Teletherapy Only
What are your salary requirements (ie. annual salary range and/or per session rate you anticipate)?
*
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