Private Practice Consulting | Supervised Clinical Practice | Mentoring Inquiry Form Please enable JavaScript in your browser to complete this form.Note: Please use Google Chrome to Fill Out Form. Form will not process on Safari or Firefox browsersName *Pronouns *Email *Phone Number *How Did You Hear About A Beautiful Soul Holistic Counseling? *Current Clinical Status? *LACLPCLMSWLCSWLAMFTLMFTPre-Licensed/New GraduateWhat Service Are You Looking For? *Private Practice ConsultingSupervised Independent Private PracticeMentorshipHow Many Years Have You Been A Therapist? *Are You Currently Operating Your Own Private Practice? *YesNoWhat Is The Time Frame That You Are Looking To Own/Operate Your Private Practice? *How Many Clients Per Week Do You Currently Have? *What Is Your Desired Number of Clients Per Week? *What Are Some Of Your Practice Goals? *What Experience Do You Have With Marketing? *What Is Your Desired Client Population To Work With? *Do you currently have any certifications or advanced trainings? (Please list below) *What Is Your Current Schedule? *What Would Be Your Ideal Schedule? *Are You Looking To Treat In-Person, Telehealth or Hybrid? *What Are Your Top 3 Personal Core Beliefs? *Please List These In Order Of Importance To You? (Build Your Caseload Quickly, Financial, Work-Life Balance, Specialization/Niche Practice) *Are You Or Do You Plan On Accepting Health Insurance?YesNoDon't KnowPlease Save Your Resume To Google Drive and Share the Link With Us Below (Allow Access So We Can View) *You can also email your resume to nicole@beautifulsoulcounseling.comDo You Have Any Additional Questions? (Please Describe Below) *Submit