Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *EmailConfirm EmailWhich position are you applying for? *Intake CoordinatorLicensed ClinicianIntern/PostdocNeurofeedback TechnicianDo you have an active licensed with the Texas Behavior Health Executive Counsel? *YesNoNo, I’m applying for internship or postdoc residencyNo, I’m applying for Intake Coordinator positionNo, I’m applying for technician positionPhone *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHow did you find out about this position?Current EmployeeCareer FairNewspaper AdRadio/TV AdSearch EngineSocial MediaGlassdoorOtherUpload your cover letter (required) * Drag & Drop Files, Choose Files to Upload Upload your resume (required) * Drag & Drop Files, Choose Files to Upload Additional InformationSubmit
