We want to get to know you better!

Please take a few minutes to answer these questions so we can better understand if you're a good fit for our online counseling/coaching platform, and how we can best support you and our community. 

Tribe On!

Alex, Josh, and the rTribe Team

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* 1. Contact Information (Business)

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* 2. How much time do you think can you devote to counseling on rTribe per week? (Select more than one answer if you are unsure.)

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* 3. Are you a Lifecoach or Wellness Coach?

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* 4. Are you a Licensed Clinician?

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* 5. How many years have you been providing counseling and/or coaching?

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* 6. Do you have experience providing online counseling or coaching? If so, please explain.

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* 7. Please provide 1-3 people who can serve as a reference. List licensed counselors, if you're a licensed therapist, or list certified coaches if you're applying as a coach. Don't forget to include their contact information INCLUDING E-MAIL.

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* 8. Are you willing to conduct Live Video sessions? At this time, it's a requirement :)

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* 9. How often do you check your email?

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* 10. Have you ever been subject to an investigation, review, or discipline by your licensing board? If so, please provide details.

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* 11. Are you able to provide services in a language other than English? If so, which language(s)?

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* 12. Please describe in 2-3 sentences your counseling/coaching modalities, style, and approach.

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* 13. Share a little about why you are interested in joining the rTribe community:

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* 14. Select all of your Specialties or Areas of Focus (this is the 'struggles' list clients will choose from):

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* 15. If you chose "Couple's", please share some of the experience you have working specifically with them on all platforms (i.e. In-Office, Video):

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* 16. Do you have malpractice insurance?  (For Licensed Clinicians)

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* 17. Are you Certified?  If so, please list certifications

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* 18. What is your highest level of education?  Please list Institution, Degree and Graduation Year.

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* 19. Have you read and do you agree to the rTribe Terms and the rTribe Provider Terms? https://rtribe.org/terms/  https://rtribe.org/provider-terms/

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* 20. How did you hear about rTribe online counseling?

That’s it!

Thanks for taking the time to respond. We'll be in touch soon.

The rTribe team

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* 21. Do you have any questions for us?

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