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Practicum Placement
Url
Name
*
Email Address
*
Number
*
What Masters program are you enrolled in?
*
Who will be your governing body? What is your current status with them?
*
When are you hoping to begin your placement?
*
Who are you comfortable in supporting?
*
Individual
Couples
Families
Children
Adolescents
Can you secure your own supervisor?
*
Yes
Yes, if I have to
No
Are you able to provide 10-15 direct client hours a week?
*
Yes
Yes, if I have to
No
What is your availability like? (days, times?)
*
Why would you be a good fit for RTM?
*
Associate Therapist
Company
Name
*
Email Address
*
Contact Number
*
When are you hoping to start?
What is your availability (days, times you can offer for services)?
How do you hope to provide services?
*
In Person
Virtual
Hybrid - Virtual and In Person
Who are you comfortable in servicing?
*
Individuals
Couples
Families
Children (under 12 years of age)
What type of work are you looking for?
*
Part Time (10-15 hours per week)
Full Time (16-25 hours per week)
Either Part Time or Full Time
Why do you believe you would be a good fit RTM?
Information Summary
