hope+wellness APPLY receive supervision + mentoring services with us! Interest Form for Becoming a Supervisee with Hope+WellnessHello! Thank you for taking the time to express your interest in obtaining supervision services at Hope+Wellness. For consideration, applicants must: Email CV or Resume to supervision@hope-wellness.comComplete the form at the link below. Name * First Name Last Name Email * Phone Number * (###) ### #### What is your training background? * I am an LPC resident seeking supervised licensure hours I am a doctoral candidate in psychology seeking supervised licensure hours I am a psychologist with my PhD or PsyD seeking supervised licensure hours What is the name of your graduate program? Please note if it is CACREP or APA accredited. * Please discuss your current licensure requirement situation and interests, and in general what your hour requirements are. * As you seek a supervisor, what are you yearning for and what do you need in a relationship with a supervisor to be happy and feel supported? * What is it about the supervision approach at Hope+Wellness that draws your interest? * What type of population(s) did you work with during your internship(s) and what types of concerns are you most comfortable with? * Please select therapy approaches you use in your practice or are interested in receiving more training and supervision on. * ACCELERATED EXPERIENTIAL DYNAMIC PSYCHOTHERAPY ACCEPTANCE AND COMMITMENT THERAPY (ACT) ADLERIAN APPLIED BEHAVIORAL ANALYSIS ART THERAPY ATTACHMENT-BASED BIOFEEDBACK BRAINSPOTTING CHRISTIAN COUNSELING COACHING COGNITIVE BEHAVIORAL THERAPY (CBT) COGNITIVE PROCESSING THERAPY COMPASSION FOCUSED COMPREHENSIVE RESOURCE MODEL (CRM) CONTROL MASTERY THEORY CULTURALLY SENSITIVE DANCE/MOVEMENT THERAPY DIALECTICAL BEHAVIOR THERAPY (DBT) ECLECTIC EMDR EMOTIONAL FREEDOM TECHNIQUE/TAPPING EMOTIONALLY FOCUSED THERAPY ENERGY THERAPY ERICKSONIAN HYPNOTHERAPY EXISTENTIAL EXPERIENTIAL THERAPY EXPOSURE RESPONSE PREVENTION EXPRESSIVE ARTS FAMILY / MARITAL FAMILY SYSTEMS FEMINIST FORENSIC PSYCHOLOGY GESTALT GOTTMAN METHOD HAKOMI HARM REDUCTION HUMANISTIC HYPNOTHERAPY IMAGO IMPACT THERAPY INTEGRATED BEHAVIORAL COUPLES THERAPY INTEGRATIVE INTERNAL FAMILY SYSTEMS (IFS) INTERPERSONAL INTERVENTION JUNGIAN LIFESPAN INTEGRATION MINDFULNESS-BASED (MBCT) MOTIVATIONAL INTERVIEWING MULTICULTURAL NARRATIVE NEUROFEEDBACK NEUROLINGUISTIC PROGRAMMING (NLP) OBJECT-RELATIONS THERAPY PARENT-CHILD INTERACTION THERAPY (PCIT) PERSON-CENTERED PLAY THERAPY POSITIVE PSYCHOLOGY PROLONGED EXPOSURE THERAPY PSYCHOANALYTIC PSYCHOBIOLOGICAL APPROACH COUPLE THERAPY (PACT) PSYCHODYNAMIC PSYCHOLOGICAL TESTING AND EVALUATION RATIONAL EMOTIVE BEHAVIOR THERAPY (REBT) REALITY THERAPY RELATIONAL SAND PLAY SEEKING SAFETY SENSORIMOTOR SOLUTION FOCUSED BRIEF (SFBT) SOMATIC EXPERIENCING STRENGTH-BASED STRUCTURAL FAMILY THERAPY SUPERVISION SERVICES TRANSPERSONAL TRAUMA FOCUSED CBT TRIPLE P Describe your therapeutic approach and relationship with clients in the therapy room. What mechanisms/factors are required for change to occur within therapy? * Please select the 5 statements that best reflect your ideal work life at your dream job and/or your ideal relationship with a job. * 1. While I enjoy my work and feel that I do it very well, I often feel I have to look elsewhere – my home, spiritual life, friends, hobbies, community service – for inspiration or fulfillment. 2. I tend to lose myself in my work. I just feel like I’m in the “flow,” and I lose all sense of time. 3. I like what I do but don’t expect a lot from my work. It just provides what I need to do the other more important things in my life. I enjoy my leisure time more than my work life. 4. My work truly makes a difference in the world. 5. The greatest experience I have at work is when I’m truly recognized by others for what I’ve accomplished. 6. If I had to choose between getting at 10% raise at work or finding a new best friend at work, I’d probably choose the raise. 7. I often feel like the work I’m doing is coming from some greater source than just me. It’s like I’m channeling this energy/talent, and I’m amazed by its power. 8. I’m often not that excited to go to work on Monday morning. 9. My goal in life is to rise to the top of my field. 10. There are moments when I think to myself, “If I were independently wealthy, I’d probably still be doing this work.” I do what I do because I love it. 11. I’ve thought pretty deeply about where my work will take me over the next 10 years and what I need to do to excel in this field. 12. I’m pretty conscious to use my vacation time and sick days off so I can create more balance and ensure that work doesn’t dominate my life. 13. I often feel like my work allows me to show the “real me.” My work lets me use my deepest creative gifts. 14. I think work is overrated when you consider what percentage of our lives we spend working as compared to enjoying life. I don’t think much about work when I’m not there. 15. I will do what it takes to become a success in my work. What is your ideal population/concerns you would like to work on while working toward licensure, and to discuss in supervision? (e.g., children, teens, young adults, depression, anxiety) * What are your long term goals (1-3 years out)? Personally and/or professionally. * What can you bring to Hope+Wellness as a supervisee that sets you apart from other applicants? * Tell us about your personality. How would colleagues describe you? How would you describe your strengths? What is your Myers Briggs personality type (e.g., INTJ) (if you know it)? * What are 3-4 areas of growth you would like to work on during Clinical Supervision? * What are the most important aspects of clinical supervision for you? What would you consider to be a good fit? * Our supervisees all hold their own professional liability policy. I currently have my own policy and it meets requirements for my state. I agree to provide a copy to Hope+Wellness should I decide to work with a supervisor here. * Yes, I have a policy and will send it when I complete my onboarding paperwork. No, I do not have a policy and do not intend to purchase one. I do not have a policy yet, but I will purchase one shortly and provide it when completing my onboarding paperwork. Please list the names, contact information, and titles of at least three clinical supervisor references. Thank you for your time and consideration of our team and practice! If you haven't already, please email your CV to supervision@hope-wellness.com. Thank you so much!
