Apply - LiveUp Counseling

Application For Employment

Thank you for your interest in joining LiveUp Counseling. If you are licensed in Pennsylvania as a Psychologist, LCSW, LSW, LPC, or LMFT, please fill out the form below and attach your resume, cover letter, and a copy of your clinical license. We look forward to speaking with you!

Please select the position you are interested in applying for:

Name:

Phone Number:

Email:

What are your preferred pronouns? (e.g., she/her, he/him, they/them, etc.)

Are you being referred by anyone?

If yes, who referred you?

Preferred age group(s) to work with:

Are you credentialed with any private insurances?

Yes No

If yes, which insurance providers are you credentialed with?

Please select the position you are interested in

Full time Part time

What are your preferred days and times of availability?

What percentage of your work would you prefer to be in-person vs. telehealth? (e.g., 60% in-person / 40% telehealth):

What clinical licenses do you hold? (Select all that apply):

Please share your areas of interest and clinical expertise:

Please attach your resume here: (10MB Max)

Please attach your cover letter here: (10MB Max)

Please attach your clinical license(s) here: (16MB Max)

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