Green House Application

First Name*
Last Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Questions:
Please answer the first question, and any two of the remaining questions:
What draws you to consider the Green House program?*
Name one or two specific learnings you have gained, in terms of your clinical understanding and experience, from your own depth/psychodynamic/long-term personal therapy experience?
What interests you about working with marginalized clients? What has your experience (clinical or otherwise) been with this population?
What goals might you have for your learning experience in the Green House program?
What do you imagine the future impact of this program might be for you?
Resume File Attachment*
Accepted file types: pdf, doc, docx, odf.
PDF, DOC, DOCX, ODF
Digital Signature (type full name)*
Today's Date
Date Format: MM slash DD slash YYYY

Application Instructions & Deadlines

Post-Graduate Psychotherapy Training

Is the Green House right for you?

We will host a Saturday Introductory Meeting* on July 13, from 2:30-4:30 pm at LifeWorks’ Skokie office, to share and answer questions about the program including:

Philosophy of the program
Program elements & expectations
Supervisors, instructors and mentors
Application process

* NOTE: Applicants unable to attend this Information Meeting, must have a scheduled phone interview prior to submitting their application. For more information about this or other questions, please contact Cindy Trawinski, Psy.D. at [email protected]

Have questions now? Download FAQs 2020.

Application Materials Check List:

Completed and signed application form
Resume or CV
Written questions
Copy of your professional license (if applicable)
If you are accepted for an in-person interview, two letters of reference at least one from a clinical supervisor (one may be from a professor or academic advisor)

Guidelines for Resume/CV:

Please submit your Curriculum Vitae or resume with start and end dates of employment or engagement for each of your clinical experiences. Please be sure to outline your relevant information below:

Current professional status (student, unlicensed graduate)
Training (include names of institutions, degrees and dates)
Clinical or other relevant employment history
Professional clinical license for IL (type, number)
Professional psychotherapy training (list internships, certificate programs, intensive trainings, etc. Please include the sponsoring organizations’ names and dates of participation)
Teaching
Consulting
Research
Publications
Presentations
Other professional experience