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Continued Traineeship Application 2024

Los Angeles, CA

Volunteer

Clinical Services

Student (College)

Thank you for your interest in continuing your traineeship at Maple Counseling!

This application is open to current trainees only.

For email address and phone number, please use your personal email address and cell phone number.

Application deadline: March 15th, 2024.

Apply for this position

Required*

First Name*

Last Name*

Email Address*

Phone*

Current Status Toward License:* MFT TraineeAssociate MFTSW StudentAssociate CSWPCC TraineeAssociate PCC

Graduate School*

Date of Graduation/Expected Date of Graduation*

Associate Number

Start Date at Maple*

Hours Completed (Approximately)*

Hours Needed (Approximately)*

Current Program/Past Program Completed* Adult TherapyAdolescent TherapyChild & Family Therapy

Current Track/Past Track Completed* Group TrackAdult Intake TrackCouples Therapy Track

Current Maple Supervisor(s)*

Current Volunteer Supervisor*

Program You Are Requesting*

Track/Training You Are Requesting Group TherapyCouples Therapy (For Adult Program Only)

Are you willing and able to commit to a full training year (12 months)?

If yes, please write "yes."

If no, what are you requesting? Partial year participation is restricted, and allowed only on a space available basis.*

Please describe your clinical strengths:*

Please describe the areas you hope to improve in your clinical work:*

Please describe what you hope to learn in your continued traineeship at Maple Counseling:*

Please describe any other traineeship/internship experience (not at Maple Counseling):*

Human Check*

Submit Application