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			{"id":246,"date":"2019-04-13T13:46:32","date_gmt":"2019-04-13T13:46:32","guid":{"rendered":"http:\/\/chenaltherapy.com\/?page_id=246"},"modified":"2025-09-17T21:03:40","modified_gmt":"2025-09-17T21:03:40","slug":"clinical-careers","status":"publish","type":"page","link":"https:\/\/chenaltherapy.com\/es\/clinical-careers\/","title":{"rendered":"Carreras cl\u00ednicas"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; module_id=&#8221;sticky&#8221; _builder_version=&#8221;4.16&#8243; z_index=&#8221;0&#8243; da_disable_devices=&#8221;off|off|off&#8221; box_shadow_style=&#8221;preset1&#8243; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221;][et_pb_fullwidth_menu menu_id=&#8221;2&#8243; 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global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1>Apply Here<\/h1>\n<p>Clinical Careers<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;2_5&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; custom_padding=&#8221;100px|0px|100px|0px|true|false&#8221; animation_style=&#8221;slide&#8221; animation_direction=&#8221;bottom&#8221; animation_intensity_slide=&#8221;20%&#8221; z_index_tablet=&#8221;500&#8243; da_disable_devices=&#8221;off|off|off&#8221; global_colors_info=&#8221;{}&#8221; transform_styles__hover_enabled=&#8221;on&#8221; transform_scale__hover_enabled=&#8221;on&#8221; transform_translate__hover_enabled=&#8221;on&#8221; transform_rotate__hover_enabled=&#8221;on&#8221; 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indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/es\/wp-json\/wp\/v2\/pages\/246' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3_28\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_28'>Instagram<\/label><div class='ginput_container'><input name='input_28' id='input_3_28' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_3_28'>This field is for validation purposes and should be left unchanged.<\/div><\/div><div id=\"field_3_2\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Thank you for your interest in working with Chenal Family Therapy PLC. 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\/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_9' id='label_3_5_9' class='gform-field-label gform-field-label--type-inline'>Fayetteville<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.11' type='checkbox'  value='Forrest City'  id='choice_3_5_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_11' id='label_3_5_11' class='gform-field-label gform-field-label--type-inline'>Forrest City<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.12' type='checkbox'  value='Fort Smith'  id='choice_3_5_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_12' id='label_3_5_12' class='gform-field-label gform-field-label--type-inline'>Fort Smith<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.13' type='checkbox'  value='Harrison'  id='choice_3_5_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_13' id='label_3_5_13' class='gform-field-label gform-field-label--type-inline'>Harrison<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.14' type='checkbox'  value='Hot Springs'  id='choice_3_5_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_14' id='label_3_5_14' class='gform-field-label gform-field-label--type-inline'>Hot Springs<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.15' type='checkbox'  value='Jonesboro'  id='choice_3_5_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_15' id='label_3_5_15' class='gform-field-label gform-field-label--type-inline'>Jonesboro<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.16' type='checkbox'  value='Magnolia'  id='choice_3_5_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_16' id='label_3_5_16' class='gform-field-label gform-field-label--type-inline'>Magnolia<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.17' type='checkbox'  value='Mountain Home'  id='choice_3_5_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_17' id='label_3_5_17' class='gform-field-label gform-field-label--type-inline'>Mountain Home<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.18' type='checkbox'  value='North Little Rock'  id='choice_3_5_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_18' id='label_3_5_18' class='gform-field-label gform-field-label--type-inline'>North Little Rock<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.19' type='checkbox'  value='Rogers'  id='choice_3_5_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_19' id='label_3_5_19' class='gform-field-label gform-field-label--type-inline'>Rogers<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.21' type='checkbox'  value='Russellville'  id='choice_3_5_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_21' id='label_3_5_21' class='gform-field-label gform-field-label--type-inline'>Russellville<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.22' type='checkbox'  value='Searcy'  id='choice_3_5_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_22' id='label_3_5_22' class='gform-field-label gform-field-label--type-inline'>Searcy<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.23' type='checkbox'  value='Texarkana, AR'  id='choice_3_5_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_23' id='label_3_5_23' class='gform-field-label gform-field-label--type-inline'>Texarkana, AR<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_24'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.24' type='checkbox'  value='West Little Rock'  id='choice_3_5_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_24' id='label_3_5_24' class='gform-field-label gform-field-label--type-inline'>West Little Rock<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_25'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.25' type='checkbox'  value='Interested in helping us start an office or want us to help run your private practice?'  id='choice_3_5_25'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_25' id='label_3_5_25' class='gform-field-label gform-field-label--type-inline'>Interested in helping us start an office or want us to help run your private practice?<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_3_5'>(check up to the top 3 that you'd be willing to work at for no less than one year)<\/div><\/fieldset><div id=\"field_3_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_6'>Tell us where<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_3_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Will you be bringing clients with you to CFT?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_7'>\n\t\t\t<div class='gchoice gchoice_3_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Yes'  id='choice_3_7_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_7_0' id='label_3_7_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_7_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='No'  id='choice_3_7_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_7_1' id='label_3_7_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_8'>If so, how many weekly appointments do you anticipate this will be?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_3_8' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3_9\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Are you currently credentialed with any insurance companies, EAP&#039;s, or government payers (ILP Medicaid, Medicare, Tricare, etc)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_9'><div class='gchoice gchoice_3_9_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.1' type='checkbox'  value='BCBS \/ Health Advantage'  id='choice_3_9_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_9_1' id='label_3_9_1' class='gform-field-label gform-field-label--type-inline'>BCBS \/ Health Advantage<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_9_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.2' type='checkbox'  value='Ambetter'  id='choice_3_9_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_9_2' id='label_3_9_2' class='gform-field-label gform-field-label--type-inline'>Ambetter<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_9_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.3' type='checkbox'  value='United Health Insurance \/ URM'  id='choice_3_9_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_9_3' id='label_3_9_3' class='gform-field-label gform-field-label--type-inline'>United Health Insurance \/ URM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_9_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.4' type='checkbox'  value='Individually Licensed Provider for Medicaid (ILP)'  id='choice_3_9_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_9_4' id='label_3_9_4' class='gform-field-label gform-field-label--type-inline'>Individually Licensed Provider for Medicaid (ILP)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_9_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.5' type='checkbox'  value='Federal BCBS'  id='choice_3_9_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_9_5' id='label_3_9_5' class='gform-field-label gform-field-label--type-inline'>Federal BCBS<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_9_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.6' type='checkbox'  value='Medicare'  id='choice_3_9_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_9_6' id='label_3_9_6' class='gform-field-label gform-field-label--type-inline'>Medicare<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_9_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.7' type='checkbox'  value='Tricare'  id='choice_3_9_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_9_7' id='label_3_9_7' class='gform-field-label gform-field-label--type-inline'>Tricare<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_9_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.8' type='checkbox'  value='Other'  id='choice_3_9_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_9_8' id='label_3_9_8' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_10\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_10'>If other, please specify:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_3_10' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are there any prohibitions or barriers based on your past, current, or future  employment  that will prohibit you from serving any populations?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_25'>\n\t\t\t<div class='gchoice gchoice_3_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Yes'  id='choice_3_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_25_0' id='label_3_25_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='No'  id='choice_3_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_25_1' id='label_3_25_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_24\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_24'>If yes, please explain.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_3_24' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_11\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_11'>Tell us about your clinical specialties, area of focus, and populations served.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_3_11' class='textarea large'  aria-describedby=\"gfield_description_3_11\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_11'>What populations do you geek out on? What special trainings or certifications do you already have?<\/div><\/div><div id=\"field_3_12\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_12'>CFT believes that good therapy sometimes exists in ethically uncomfortable areas that require wrestling and consultation. Tell us about a time where you had to walk that line.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_12' id='input_3_12' class='textarea large'  aria-describedby=\"gfield_description_3_12\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_12'>What has hindsight has taught you? What would you do the same or different?<\/div><\/div><div id=\"field_3_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_13'>Are there any populations that you&#039;re opposed to working with from a moral, safety, or competency point of view?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_3_13' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_14'>What are your views on therapist self-disclosure as part of the clinical relationship with clients?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_3_14' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3_26\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >If CFT had the opportunity to provide school-based services either in person or via telemed, would you be interested in these opportunities?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_26'><div class='gchoice gchoice_3_26_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.1' type='checkbox'  value='Yes'  id='choice_3_26_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_26_1' id='label_3_26_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_26_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.2' type='checkbox'  value='No'  id='choice_3_26_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_26_2' id='label_3_26_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_26_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.3' type='checkbox'  value='Maybe'  id='choice_3_26_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_26_3' id='label_3_26_3' class='gform-field-label gform-field-label--type-inline'>Maybe<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_15\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_15'>Tell us what you know about CFT and why you think you&#039;d be a good fit in our practice culture.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_15' id='input_3_15' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_3_16\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_16'>Please attach your resume.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='134217728' \/><input name='input_16' id='input_3_16' type='file' class='medium' aria-describedby=\"gfield_upload_rules_3_16\" onchange='javascript:gformValidateFileSize( this, 134217728 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_16'>Accepted file types: jpg, png, pdf, docx, Max. file size: 128 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_3_16'><\/div> 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global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][\/et_pb_column][et_pb_column type=&#8221;1_5&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][\/et_pb_column][et_pb_column type=&#8221;1_5&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_5,1_5,1_5,1_5,1_5&#8243; custom_padding_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.27.0&#8243; custom_padding=&#8221;0px|0px|0px|0px|true|false&#8221; custom_padding_tablet=&#8221;50px||||false|false&#8221; custom_padding_phone=&#8221;&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_5&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;||||||||&#8221; header_font=&#8221;||||||||&#8221; header_font_size=&#8221;18px&#8221; header_letter_spacing=&#8221;2px&#8221; header_2_font=&#8221;||||||||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h4 class=\"p1\"><span class=\"s1\"><b><i>Contact Us<\/i><\/b><\/span><\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.4&#8243; text_font=&#8221;||||||||&#8221; text_font_size=&#8221;12px&#8221; text_line_height=&#8221;1em&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p class=\"font_8\"><a href=\"tel:5017812230\">(501) 781-2230<\/a><\/p>\n<p class=\"font_8\"><a href=\"tel:8703402636\">(870) 340-2636<\/a><\/p>\n<p class=\"font_8\"><a href=\"tel:4795950333\">(479) 595-0333<\/a><\/p>\n<p class=\"p1\">Toll-free: <a href=\"tel:18447550530\">1 (844) 755-0530<\/a><\/p>\n<p class=\"p1\">Fax: (888) 816-7916<\/p>\n<p class=\"p1\"><a href=\"mailto:info@chenaltherapy.com\">Info@ChenalTherapy.com<\/a><\/p>\n<p>[\/et_pb_text][et_pb_image src=&#8221;https:\/\/chenaltherapy.com\/wp-content\/uploads\/2019\/04\/psychology-today-1.png&#8221; alt=&#8221;Verified by Psychology Today&#8221; url_new_window=&#8221;on&#8221; admin_label=&#8221;Image&#8221; _builder_version=&#8221;4.16&#8243; width=&#8221;81%&#8221; width_tablet=&#8221;&#8221; width_phone=&#8221;35%&#8221; width_last_edited=&#8221;on|phone&#8221; module_alignment=&#8221;left&#8221; custom_margin=&#8221;-15px||&#8221; box_shadow_style=&#8221;preset1&#8243; box_shadow_color=&#8221;rgba(0,0,0,0.01)&#8221; always_center_on_mobile=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][et_pb_image src=&#8221;https:\/\/chenaltherapy.com\/wp-content\/uploads\/2020\/12\/CARF_GoldSeal.png&#8221; alt=&#8221;Verified by Psychology Today&#8221; title_text=&#8221;CARF_GoldSeal&#8221; url_new_window=&#8221;on&#8221; align=&#8221;center&#8221; admin_label=&#8221;Image&#8221; _builder_version=&#8221;4.16&#8243; width=&#8221;81%&#8221; width_tablet=&#8221;&#8221; width_phone=&#8221;35%&#8221; width_last_edited=&#8221;on|phone&#8221; module_alignment=&#8221;left&#8221; custom_margin=&#8221;-15px||&#8221; box_shadow_style=&#8221;preset1&#8243; box_shadow_color=&#8221;rgba(0,0,0,0.01)&#8221; always_center_on_mobile=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;1_5&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;||||||||&#8221; header_font=&#8221;||||||||&#8221; header_font_size=&#8221;18px&#8221; header_letter_spacing=&#8221;2px&#8221; header_2_font=&#8221;||||||||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h4 class=\"p1\"><span class=\"s1\"><b><i>Locations<\/i><\/b><\/span><\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.4&#8243; text_font=&#8221;||||||||&#8221; text_font_size=&#8221;12px&#8221; text_line_height=&#8221;1em&#8221; custom_margin=&#8221;-10px|||-25px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<table style=\"width: 327px;\">\n<tbody>\n<tr>\n<td style=\"width: 155px;\">\n<p><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-bella-vista\/\">Bella Vista<\/a><\/p>\n<p><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-berryville\/\">Berryville<\/a><\/p>\n<p><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-bryant\/\">Bryant &#8211; East<\/a><\/p>\n<p><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-bryant\/\">Bryant &#8211; West<\/a><\/p>\n<p><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-cabot\/\">Cabot<\/a><\/p>\n<p><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-clinton\/\">Clinton<\/a><\/p>\n<p class=\"p1\"><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-conway\/\">Conway<\/a><\/p>\n<p class=\"p1\"><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-el-dorado\/\">El Dorado<\/a><\/p>\n<p><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-fayetteville\/\">Fayetteville<\/a><\/p>\n<p><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-forrest-city\/\">Forrest City<\/a><\/p>\n<p class=\"p1\"><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-fort-smith\/\">Fort Smith<\/a><\/p>\n<\/td>\n<td style=\"width: 156px;\">\n<p class=\"p1\"><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-harrison\/\">Harrison<\/a><\/p>\n<p class=\"p1\"><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-hot-springs\/\">Hot Springs<\/a><\/p>\n<p><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-jonesboro\/\">Jonesboro<\/a><\/p>\n<p><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-magnolia\/\">Magnolia<\/a><\/p>\n<p><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-mountain-home\/\">Mountain Home<\/a><\/p>\n<p class=\"p1\"><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-north-little-rock\/\">North Little Rock<\/a><\/p>\n<p class=\"p1\"><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-rogers\/\">Rogers<\/a><\/p>\n<p><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-russellville\/\">Russellville<\/a><\/p>\n<p><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-searcy\/\">Searcy<\/a><\/p>\n<p class=\"p1\"><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-texarkana\/\">Texarkana, AR<\/a><\/p>\n<p class=\"p1\"><a href=\"https:\/\/chenaltherapy.com\/locations\/therapy-counseling-in-west-little-rock\/\">West Little Rock<\/a><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_5&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][\/et_pb_column][et_pb_column type=&#8221;1_5&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;||||||||&#8221; header_font=&#8221;||||||||&#8221; header_font_size=&#8221;18px&#8221; header_letter_spacing=&#8221;2px&#8221; header_2_font=&#8221;||||||||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h4 class=\"p1\"><span class=\"s1\"><b><i>Services<\/i><\/b><\/span><\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;||||||||&#8221; text_font_size=&#8221;12px&#8221; text_line_height=&#8221;1em&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p class=\"p1\"><a href=\"https:\/\/chenaltherapy.com\/services\/therapy\/\">Therapy<\/a><\/p>\n<p class=\"p1\"><a href=\"https:\/\/chenaltherapy.com\/services\/anger-management\/\">Anger Management<\/a><\/p>\n<p class=\"p1\"><a href=\"https:\/\/chenaltherapy.com\/services\/testing\/\">Testing<\/a><\/p>\n<p class=\"p1\"><a href=\"https:\/\/chenaltherapy.com\/services\/intensive\/\">Intensive<\/a><\/p>\n<p class=\"p1\"><a href=\"https:\/\/chenaltherapy.com\/services\/medication-management\/\">Medication Management<\/a><\/p>\n<p class=\"p1\"><a href=\"https:\/\/chenaltherapy.com\/services\/online-therapy\/\">Online Counseling<\/a><\/p>\n<p class=\"p1\"><a href=\"https:\/\/chenaltherapy.com\/category\/low-cost-options\">Low-Cost Options<\/a><\/p>\n<p class=\"p1\">[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_5&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;||||||||&#8221; header_font=&#8221;||||||||&#8221; header_font_size=&#8221;18px&#8221; header_letter_spacing=&#8221;2px&#8221; header_2_font=&#8221;||||||||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h4 class=\"p1\"><span class=\"s1\"><b><i>Quick Navigation<\/i><\/b><\/span><\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.18.0&#8243; text_font=&#8221;||||||||&#8221; text_font_size=&#8221;12px&#8221; text_line_height=&#8221;1em&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p class=\"p1\"><a href=\"\/payment\/\">Online Payment<\/a><\/p>\n<p class=\"p1\"><a href=\"https:\/\/www.therapyportal.com\/p\/chenaltherapy\/\" target=\"_blank\" rel=\"noopener\">Schedule Appointment<\/a><\/p>\n<p class=\"p1\"><a href=\"\/about\/careers\/\">Careers<\/a><\/p>\n<p class=\"p1\"><a href=\"\/resources\/\">Resources<\/a><\/p>\n<p class=\"p1\"><a href=\"https:\/\/chenaltherapy.com\/referrals-2\/\">Referrals<\/a><\/p>\n<p class=\"p1\"><a href=\"https:\/\/www.semiprivatepractice.com\/\" target=\"_blank\" rel=\"noopener\">Trainings<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_4,1_4,1_4,1_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;0|0px|0|0px|false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_image src=&#8221;https:\/\/chenaltherapy.com\/wp-content\/uploads\/2023\/04\/SPP-Logo.png&#8221; alt=&#8221;Verified by Psychology Today&#8221; title_text=&#8221;SPP Logo&#8221; url_new_window=&#8221;on&#8221; align=&#8221;center&#8221; admin_label=&#8221;Image&#8221; _builder_version=&#8221;4.18.0&#8243; width=&#8221;81%&#8221; width_tablet=&#8221;&#8221; width_phone=&#8221;35%&#8221; width_last_edited=&#8221;on|phone&#8221; module_alignment=&#8221;left&#8221; custom_margin=&#8221;-15px||&#8221; box_shadow_style=&#8221;preset1&#8243; box_shadow_color=&#8221;rgba(0,0,0,0.01)&#8221; always_center_on_mobile=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_image src=&#8221;https:\/\/chenaltherapy.com\/wp-content\/uploads\/2023\/04\/ACEP-Logo.png&#8221; alt=&#8221;Verified by Psychology Today&#8221; title_text=&#8221;ACEP Logo&#8221; url_new_window=&#8221;on&#8221; align=&#8221;center&#8221; admin_label=&#8221;Image&#8221; _builder_version=&#8221;4.18.0&#8243; width=&#8221;81%&#8221; width_tablet=&#8221;&#8221; width_phone=&#8221;35%&#8221; width_last_edited=&#8221;on|phone&#8221; module_alignment=&#8221;left&#8221; custom_margin=&#8221;-15px||&#8221; box_shadow_style=&#8221;preset1&#8243; box_shadow_color=&#8221;rgba(0,0,0,0.01)&#8221; always_center_on_mobile=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.18.0&#8243; module_alignment=&#8221;center&#8221; custom_padding=&#8221;||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.18.0&#8243; text_font=&#8221;||||||||&#8221; text_font_size=&#8221;12px&#8221; text_line_height=&#8221;1em&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p style=\"text-align: center;\"><i>SPP is a subset of Chenal Family Therapy, PLC, ACEP Provider Number: 7233<\/i><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Apply Here Clinical Careers \n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_3' style='display:none'>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/es\/wp-json\/wp\/v2\/pages\/246' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3_28\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_28'>Email<\/label><div class='ginput_container'><input name='input_28' id='input_3_28' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_3_28'>This field is for validation purposes and should be left unchanged.<\/div><\/div><div id=\"field_3_2\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Thank you for your interest in working with Chenal Family Therapy PLC. Our staffing needs evolve month by month and we'd encourage you to complete this process, even though we may not have a position available at this time. Our hiring process is based not just on location need, but on clinical specialties, training, etc. By completing this form, we'll be able to put you in our system and on our radar for future opportunities. There is no need to follow-up after your submission. We will contact you for an additional interview when the staffing need arises on our end. <\/p><\/div><fieldset id=\"field_3_3\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_3_3'>\n                            \n                            <span id='input_3_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.3' id='input_3_3_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_3_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.6' id='input_3_3_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_3_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_3_21\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_21'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_3_21' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_22\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_22'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_3_22' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_4'>Type of License<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_3_4' type='text' value='' class='large'  aria-describedby=\"gfield_description_3_4\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_4'>(including hours remaining if you're working towards full licensure)<\/div><\/div><div id=\"field_3_27\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_27'>Please provide a provisionally licensed clinician&#039;s current supervisors name.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_3_27' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3_5\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >CFT Locations<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_5'><div class='gchoice gchoice_3_5_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.1' type='checkbox'  value='Bella Vista'  id='choice_3_5_1'   aria-describedby=\"gfield_description_3_5\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_1' id='label_3_5_1' class='gform-field-label gform-field-label--type-inline'>Bella Vista<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.2' type='checkbox'  value='Berryville'  id='choice_3_5_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_2' id='label_3_5_2' class='gform-field-label gform-field-label--type-inline'>Berryville<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.3' type='checkbox'  value='Bryant - East'  id='choice_3_5_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_3' id='label_3_5_3' class='gform-field-label gform-field-label--type-inline'>Bryant - East<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.4' type='checkbox'  value='Bryant - West'  id='choice_3_5_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_4' id='label_3_5_4' class='gform-field-label gform-field-label--type-inline'>Bryant - West<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.5' type='checkbox'  value='Cabot'  id='choice_3_5_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_5' id='label_3_5_5' class='gform-field-label gform-field-label--type-inline'>Cabot<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.6' type='checkbox'  value='Clinton'  id='choice_3_5_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_6' id='label_3_5_6' class='gform-field-label gform-field-label--type-inline'>Clinton<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.7' type='checkbox'  value='Conway'  id='choice_3_5_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_7' id='label_3_5_7' class='gform-field-label gform-field-label--type-inline'>Conway<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.8' type='checkbox'  value='El Dorado'  id='choice_3_5_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_8' id='label_3_5_8' class='gform-field-label gform-field-label--type-inline'>El Dorado<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.9' type='checkbox'  value='Fayetteville'  id='choice_3_5_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_9' id='label_3_5_9' class='gform-field-label gform-field-label--type-inline'>Fayetteville<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.11' type='checkbox'  value='Forrest City'  id='choice_3_5_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_11' id='label_3_5_11' class='gform-field-label gform-field-label--type-inline'>Forrest City<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.12' type='checkbox'  value='Fort Smith'  id='choice_3_5_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_12' id='label_3_5_12' class='gform-field-label gform-field-label--type-inline'>Fort Smith<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.13' type='checkbox'  value='Harrison'  id='choice_3_5_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_13' id='label_3_5_13' class='gform-field-label gform-field-label--type-inline'>Harrison<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.14' type='checkbox'  value='Hot Springs'  id='choice_3_5_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_14' id='label_3_5_14' class='gform-field-label gform-field-label--type-inline'>Hot Springs<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.15' type='checkbox'  value='Jonesboro'  id='choice_3_5_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_15' id='label_3_5_15' class='gform-field-label gform-field-label--type-inline'>Jonesboro<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.16' type='checkbox'  value='Magnolia'  id='choice_3_5_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_16' id='label_3_5_16' class='gform-field-label gform-field-label--type-inline'>Magnolia<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.17' type='checkbox'  value='Mountain Home'  id='choice_3_5_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_17' id='label_3_5_17' class='gform-field-label gform-field-label--type-inline'>Mountain Home<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.18' type='checkbox'  value='North Little Rock'  id='choice_3_5_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_18' id='label_3_5_18' class='gform-field-label gform-field-label--type-inline'>North Little Rock<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.19' type='checkbox'  value='Rogers'  id='choice_3_5_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_19' id='label_3_5_19' class='gform-field-label gform-field-label--type-inline'>Rogers<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.21' type='checkbox'  value='Russellville'  id='choice_3_5_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_21' id='label_3_5_21' class='gform-field-label gform-field-label--type-inline'>Russellville<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.22' type='checkbox'  value='Searcy'  id='choice_3_5_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_22' id='label_3_5_22' class='gform-field-label gform-field-label--type-inline'>Searcy<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.23' type='checkbox'  value='Texarkana, AR'  id='choice_3_5_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_23' id='label_3_5_23' class='gform-field-label gform-field-label--type-inline'>Texarkana, AR<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_24'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.24' type='checkbox'  value='West Little Rock'  id='choice_3_5_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_24' id='label_3_5_24' class='gform-field-label gform-field-label--type-inline'>West Little Rock<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_25'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.25' type='checkbox'  value='Interested in helping us start an office or want us to help run your private practice?'  id='choice_3_5_25'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_25' id='label_3_5_25' class='gform-field-label gform-field-label--type-inline'>Interested in helping us start an office or want us to help run your private practice?<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_3_5'>(check up to the top 3 that you'd be willing to work at for no less than one year)<\/div><\/fieldset><div id=\"field_3_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_6'>Tell us where<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_3_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Will you be bringing clients with you to CFT?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_7'>\n\t\t\t<div class='gchoice gchoice_3_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Yes'  id='choice_3_7_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_7_0' id='label_3_7_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_7_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='No'  id='choice_3_7_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_7_1' id='label_3_7_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_8'>If so, how many weekly appointments do you anticipate this will be?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_3_8' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3_9\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Are you currently credentialed with any insurance companies, EAP&#039;s, or government payers (ILP Medicaid, Medicare, Tricare, etc)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_9'><div class='gchoice gchoice_3_9_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.1' type='checkbox'  value='BCBS \/ Health Advantage'  id='choice_3_9_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_9_1' id='label_3_9_1' class='gform-field-label gform-field-label--type-inline'>BCBS \/ Health Advantage<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_9_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.2' type='checkbox'  value='Ambetter'  id='choice_3_9_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_9_2' id='label_3_9_2' class='gform-field-label gform-field-label--type-inline'>Ambetter<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_9_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.3' type='checkbox'  value='United Health Insurance \/ URM'  id='choice_3_9_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_9_3' id='label_3_9_3' class='gform-field-label gform-field-label--type-inline'>United Health Insurance \/ URM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_9_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.4' type='checkbox'  value='Individually Licensed Provider for Medicaid (ILP)'  id='choice_3_9_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_9_4' id='label_3_9_4' class='gform-field-label gform-field-label--type-inline'>Individually Licensed Provider for Medicaid (ILP)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_9_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.5' type='checkbox'  value='Federal BCBS'  id='choice_3_9_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_9_5' id='label_3_9_5' class='gform-field-label gform-field-label--type-inline'>Federal BCBS<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_9_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.6' type='checkbox'  value='Medicare'  id='choice_3_9_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_9_6' id='label_3_9_6' class='gform-field-label gform-field-label--type-inline'>Medicare<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_9_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.7' type='checkbox'  value='Tricare'  id='choice_3_9_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_9_7' id='label_3_9_7' class='gform-field-label gform-field-label--type-inline'>Tricare<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_9_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.8' type='checkbox'  value='Other'  id='choice_3_9_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_9_8' id='label_3_9_8' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_10\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_10'>If other, please specify:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_3_10' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are there any prohibitions or barriers based on your past, current, or future  employment  that will prohibit you from serving any populations?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_25'>\n\t\t\t<div class='gchoice gchoice_3_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Yes'  id='choice_3_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_25_0' id='label_3_25_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='No'  id='choice_3_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_25_1' id='label_3_25_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_24\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_24'>If yes, please explain.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_3_24' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_11\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_11'>Tell us about your clinical specialties, area of focus, and populations served.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_3_11' class='textarea large'  aria-describedby=\"gfield_description_3_11\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_11'>What populations do you geek out on? What special trainings or certifications do you already have?<\/div><\/div><div id=\"field_3_12\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_12'>CFT believes that good therapy sometimes exists in ethically uncomfortable areas that require wrestling and consultation. Tell us about a time where you had to walk that line.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_12' id='input_3_12' class='textarea large'  aria-describedby=\"gfield_description_3_12\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_12'>What has hindsight has taught you? What would you do the same or different?<\/div><\/div><div id=\"field_3_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_13'>Are there any populations that you&#039;re opposed to working with from a moral, safety, or competency point of view?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_3_13' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_14'>What are your views on therapist self-disclosure as part of the clinical relationship with clients?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_3_14' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3_26\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >If CFT had the opportunity to provide school-based services either in person or via telemed, would you be interested in these opportunities?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_26'><div class='gchoice gchoice_3_26_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.1' type='checkbox'  value='Yes'  id='choice_3_26_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_26_1' id='label_3_26_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_26_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.2' type='checkbox'  value='No'  id='choice_3_26_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_26_2' id='label_3_26_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_26_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.3' type='checkbox'  value='Maybe'  id='choice_3_26_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_26_3' id='label_3_26_3' class='gform-field-label gform-field-label--type-inline'>Maybe<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_15\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_15'>Tell us what you know about CFT and why you think you&#039;d be a good fit in our practice culture.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_15' id='input_3_15' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_3_16\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_16'>Please attach your resume.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='134217728' \/><input name='input_16' id='input_3_16' type='file' class='medium' aria-describedby=\"gfield_upload_rules_3_16\" onchange='javascript:gformValidateFileSize( this, 134217728 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_16'>Accepted file types: jpg, png, pdf, docx, Max. file size: 128 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_3_16'><\/div> <\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_3' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_3' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_3' id='gform_theme_3' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_3' id='gform_style_settings_3' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_3' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='3' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' 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