Counselor Application

If you are interested in working as a counselor with Anchored Hope, please fill out the application below and someone from our office will contact you soon.

Name *

First

Last

Email *

Phone *

Date of Birth *

Marital Status *

What is the name of the church you attend? *

What is the website of your church? *

How long have you attended this church? *

Are you a member in good standing in this church? *

In what ministries of the church are you involved? *

Name of Pastoral Contact *

First

Last

Title of Pastoral Contact *

Phone of Pastoral Contact *

Email of Pastoral Contact *

What degrees do you hold and from where do they originate? *

What are your counseling credentials? *

Where do these credentials originate? *

What counseling experience do you have? *

Approximately how many hours of formal counseling experience do you have? *

Do you speak a language other than English? *

Do you specialize in any kind of counseling? Is there a particular demographic with whom you prefer to work? *

(e.g. Grief, Depression, Eating Disorders, Marriage, etc.)

In a few sentences, what would you say is the goal of counseling? *

What is the gospel? *

How does the gospel affect how you counsel? *

What is the role of the local church in the counseling process? *

Under what circumstances would you envision a working relationship with a physiatrist or a medical doctor? *

Describe your view of divorce? *

How many hours per week would you ideally like to work?

Selected Value: 0

Are you willing to submit yourself to the supervision and training of Anchored Hope? *

When are you able to start working with Anchored Hope Biblical Counseling?

Please list three professional references who can speak to your character and spiritual maturity.

Reference 1

Name of Reference *

First

Last

Relationship to you *

Phone *

Email *

Reference 2

Name of Reference *

First

Last

Relationship to you *

Phone *

Email *

Reference 3

Name of Reference *

First

Last

Relationship to you *

Phone *

Email *

Resume

Upload your resume

Click or drag files to this area to upload. You can upload up to 10 files.

Marriage Counseling Group Signup

"*" indicates required fields

Name*

First Last

Email*

Spouse Name*

First Last

Spouse Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How did you find out about Anchored Hope?

What do you hope to learn from your time in this group?*

Marriage Counseling Group

Price:

Total

Credit Card

Card Details

Cardholder Name

Anxiety Counseling Group Signup

"*" indicates required fields

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How did you find out about Anchored Hope?

What is your experience with anxiety?*

What do you hope to learn from your time in this group?*

Anxiety Counseling Group

Price:

Total

Credit Card

Card Details

Cardholder Name