Therapist Application Form - Affordable Therapy online from professional therapists 24/7 | Ventoutt

Ventoutt's Therapist Application Form

Full Name *

Age *

Preferred Pronouns *

Contact Email *

Contact Phone Number *

Address *

Country *

Years of Experience *

Populations You’ve Worked With (Tick all that apply)

• Children
• Adolescents
• Adults
• Geriatric
• Couples
• LGBTQIA+
• Neurodivergent
• Grief / Trauma survivors
• People with severe mental illnesses

*We prefer young adults (18-34)

Areas of Specialization *

Educational Background (Highest Degree in Psychology / Mental Health and Institution) *

Degree describe other

Additional Certifications (Trauma, CBT, Expressive Arts, LGBTQIA+, etc.) *

Days of the week available for sessions *

Times of day available for sessions *

Are you open to working with international clients (e.g., UK, USA, Canada)?

• Yes
• No

If yes, how comfortable are you with the emotional, cultural, and communication nuances involved (including accent clarity, cultural sensitivity, and country-specific ethical expectations)?

• Confident and experienced
• Somewhat familiar, open to support
• Not yet confident, but eager to learn
• Prefer not to work with international clients

Are you currently employed by any other therapy platforms?

• Yes
• No

Briefly describe your approach to therapy *

What excites you most about being a therapist *

Anything else you’d like us to know about you, your story, or your practice? *

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