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Therapist Community Registration - New Member

Welcome to Vermont Counseling Networks Private Online Community!

It is a central hub for Vermont therapists to connect, consult, and grow together. There’s no membership fee; the space is supported through our directory, trainings, and therapist-led resources. We verify all members to keep the community secure, supportive, and therapist-driven.  After completion please allow 48 hours during the week and 72 hours on the weekend for processing. 

Click the button below to start.

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Question 1 of 12

Full Name:

Question 2 of 12

Email:

Question 3 of 12

Please list your Vermont License Number and your name associated with it (OPR License Number). If you do not have a number, please explain why.  We verify all members license number VT OPR's system

Question 4 of 12

License Type (to be verified in OPR)

Question 5 of 12

Years of Experience in the Mental Health Field:

A

0-2

B

3-5

C

6-10

D

10+

Question 6 of 12

Are you licensed in any other states?  If so, please list:

Question 7 of 12

Please share your current role or occupation in the field.

Question 8 of 12

Do you practice:

A

In person

B

Online

C

Both

D

Not applicable

Question 9 of 12

Areas of Interest:

(Select all that apply)
A

Clinical Consultation

B

Supervision (for Pre-Licensed/Rostered Therapists)

C

Trauma Informed

D

EMDR

E

Trauma Informed Care

F

Racial & Social Justice Work

G

Somatic/Body-Based Work

H

Attachment

I

Parenting

J

Becoming a Supervisor

K

Building or Growing a Private Practice

L

Legal & Ethical Issues

M

Vermont Specific Resources

N

Teaching, Leading, or Presenting

Question 10 of 12

What kind of connections are you hoping for in this community?

Question 11 of 12

How did you hear about Vermont Counseling Network?

(Select all that apply)
A

Colleague

B

Google

C

Social Media

D

Vermont Find a Therapist Directory

E

Training

F

Other

Question 12 of 12

Anything else you'd like us to know as you join?

Confirm and Submit