Short Notice Assignments

 
This survey includes a listing of our Short Notice assignments. Please indicate your availability for the specific assignment dates listed!
NOTE THAT THIS LISTING INCLUDES ONLY SHORT NOTICE ASSIGNMENTS. To submit your availability for ALL other assignments please complete the MFLC Availability Survey at https://www.surveymonkey.com/s/mflcavailabilitysurvey.
YOU WILL ONLY BE CONTACTED FOR SHORT NOTICE ASSIGNMENTS IF YOU ARE SELECTED FOR ONE OF THE LISTED ASSIGNMENTS.
NEW CONSULTANTS PLEASE NOTE: Assignments which do not have experience requirements follow the "Experienced Consultant" list. We encourage you to take advantage of these opportunities in order to gain valuable MFLC experience! If you have not yet completed any MFLC assignments, please ONLY fill in the section for New Consultants.

Note that assignments in the "Experienced Consultants" list DO have specific experience requirements. "Requirements" questions follow the assignments lists. If you indicate interest in a specific assignment but do not meet eligibility requirements for that assignment, you will not be contacted.
We very much appreciate your short notice availability, and your continued support of MFLC programs.
1. Please enter the following demographic information:
2. Please enter your 6-digit Provider Identification Number(PIN). You must enter a correct PIN. If you do not know your PIN, please contact Professional Relations at 800-541-3353 BEFORE you submit this survey. Or, you can look up your number using the PIN Look Up tool at https://www.mhn.com/provider/pinLookup.do
Please check boxes below to indicate the assignment dates you are available for and interested in filling.
(Note that dates listed are assignment dates and do not include travel dates.) Please CAREFULLY CONSIDER the dates listed, and ONLY check those for which you are certain you are available. This is only a useful tool if it's accurate, so we do ask that you are accurate in your responses.

Short Notice Assignment lists are divided into those requiring prior program experience and those open to new consultants. The assignments listed for experienced consultants DO have requirements such as experience and expertise. We will ask a series of questions below in order to determine whether you meet eligibility requirements. If you have indicated interest in and availability for a specific assignment, but you do not meet eligibility requirements, you will not be contacted.
Note that USAREC assignments require extensive driving/travel, and MAY also include frequent flights to other locations.
3. ADULT Assignments:
Please carefully consider assignment dates and only check those for which you are available.
4. CYB and SCHOOLS Assignments:
The following assignments are open ONLY to CYB and Schools consultants. Please note state license requirements included in listings! By selecting from the list below you attest that you have professional experience working with children or in schools.
QUESTIONS REGARDING REQUIREMENTS:
5. I would characterize my presentation skills and experience as:
6. I have completed the following number of CYS rotations:
7. I am CYS-approved in the MFLC program:
8. I have completed the following number of MFLC (non-CYS) rotations:
9. I have completed the following number of AIR FORCE rotations:
10. I have professional experience working in schools (elementary-high school):
11. I can demonstrate the following qualifications : appropriate coursework in counseling with early childhood age groups, elementary and middle school. Experience providing counseling/consultation services in a school setting - a minimum of 6 months duration and/or prior history working directly in a school setting as a teacher, guidance counselor or school psychologist. Three years verifiable experience providing individual/group counseling services to early childhood age groups.

I hereby attest that I have completed the experience and coursework requirements outlined above:


12. I am comfortable/experienced with solo assignments
13. Do you live near any military installations?
14. I am fluent in Spanish (that is, I am sufficiently fluent to deliver services and presentations entirely in Spanish language)
15. I am tentatively scheduled for another MFLC assignment which may conflict with my selection(s) (above):
16. Are you a Special Professional Associate (SPA) or an Independent Contractor (IC)?
17. I attest that all information I have entered on this survey is true and correct.
18. Add any additional notes here: (please restrict notes to specific additional information about this survey/these assignments. General questions and comments must be directed to mflc.program@healthnet.com. PLEASE DO NOT ENTER DATES OF AVAILABILITY. If you are not available for any of the dates listed above DO NOT SUBMIT THIS SURVEY. Dates entered in the Comments field will not be considered. However, if you would like to communicate your availability for assignment dates other than those listed here, we encourage you to do that by filling out our program Availability Survey, which you may access by copying this web address and pasting it into the Address window of your browser:
https://www.surveymonkey.com/s.aspx?sm=0zUn07Lu1SV7w2X4QXP_2biA_3d_3d )
Thank you for responding quickly to let us know that you are interested in/available for these short notice assignments! You'll be contacted if your experience/availability/location are a match for these assignments. YOU WILL NOT BE CONTACTED IF YOU ARE NOT SELECTED FOR ONE OF THE LISTED ASSIGNMENTS. To submit your availability for all other MFLC assignments, please complete our Availability Survey at https://www.surveymonkey.com/s/mflcavailabilitysurvey.
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