Request - Internship Placement - The Canvas of Life Counseling, L.L.C. Group Practice

Request for internship placement

* Indicates required field

Name *

First

Last

How did you hear about The Canvas of Life Counseling, LLC? *

Email Address *

College and Graduate program you are participating in *

Phone Number *

Start and End Dates for your internship term(s) *

How many clients per week are you hoping to see in total? *

How many hours does your internship require? *

How many hours does your program require for clinical supervision from the site supervisor? *

Will you be working with another site as well? If so, what is that site's name? *

Please list days and hours of your expected availability to meet with client's in-person *

Telehealth appointments are common and expected to be done from home. Do you have a suitable space (privacy and internet) to do telehealth from home? *

Yes No Maybe

Are you available for evening (5pm on) or weekend hours? *

Yes No Maybe

Please briefly describe the therapeutic approaches and kinds of clients/issues you're interested in learning/exploring *

What interests you about interning at The Canvas of Life Counseling, LLC? *

What are your future career goals? Where do you see yourself working upon graduation? Do you plan to start your own private practice? *

Please upload your resume and cover letter here *

Max file size: 20MB

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