Equip Health - Licensed Mental Health Therapist (Remote

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WORK ELIGIBILITY

What is your full legal name?✱
What state do you currently reside in?✱
What time zone do you reside in?✱
- EST
- CST
- MST
- PST
- Other
Are you legally authorized to work in the United States?✱
- Yes
- No
Will you now or in the future require sponsorship for employment visa status?✱
- Yes
- No
If you require sponsorship either now or in the future, please explain your situation.
How did you hear about this opportunity?✱
Do you currently have a relative who works at Equip Health? If yes, please list name and relationship.✱
Have you previously worked with Equip before? If yes, please write dates and title.✱
While being a remote employee, all Equip employees are required to work and practice in which the state they reside. Do you agree that you will primarily work out of the state you reside in if you are hired at Equip Health?✱
- Yes I agree.
- I do not agree.
Completing a successful background check prior to starting is a requirement of employment at Equip Health. Do you consent to a background check should you receive an offer of employment from Equip?✱
- Yes
- No

Therapist Application Questions

Which type of mental health therapy license(s) do you hold?✱
If you hold an associate license, when do anticipate becoming fully licensed?
Which state(s) are you currently licensed in?✱
Are you able to work two evenings (until 8 pm in your patient populations time zone) to accommodate patient care?✱
What are your salary expectations?✱

Additional information

U.S. Equal Employment Opportunity information (Completion is voluntary and will not subject you to adverse treatment)

Our company values diversity. To ensure that we comply with reporting requirements and to learn more about how we can increase diversity in our candidate pool, we invite you to voluntarily provide demographic information in a confidential survey at the end of this application. Providing this information is optional. It will not be accessible or used in the hiring process, and has no effect on your opportunity for employment.

Gender

Race

Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Black or African American (Not Hispanic or Latino)
A person having origins in any of the black racial groups of Africa.
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above five races.

Veteran status

Demographic Survey

What is your location?

Demographic Survey for Equip Health

We invite you to complete this optional survey to help us evaluate our diversity and inclusion efforts. Submission of the information on this form is strictly voluntary and refusal to provide it will not subject you to any adverse treatment or affect your job application. Information obtained will be kept separate from your name or job application. This information will be kept secure and confidential and will be used solely to evaluate our diversity and inclusion efforts.

What is your age range?
- 17 or younger
- 18-20
- 21-29
- 30-39
- 40-49
- 50-59
- 60 or older
I identify my ethnicity/race as
Select all that apply
- White / Caucasian
- Hispanic, Latino, or Spanish origin
- Black or African American
- Asian
- Native Hawaiian or other Pacific Islander
- Indigenous Peoples, First Nations, Native American, or Alaska Native
- Middle Eastern or North African
- Some other race, ethnicity, or origin
- I choose not to disclose
What gender(s) do you identify as?
- Woman
- Man
- Non-binary
- Transgender
- A gender that is not listed
- I prefer to not self-identify
The ADA defines a person with a disability as someone with a physical or mental impairment that substantially limits a major life activity, has a record of such an impairment, or is regarded as having such an impairment.
- I do NOT have a disability
- I do have a disability
- I choose to not disclose
Veteran status
- I am a veteran
- I am NOT a veteran
- I choose to not disclose

Licensed Mental Health Therapist (Remote - Texas)