Become a Facilitator Group Solutions

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Become A Facilitator

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Personal Information
Professional Background & Education
Group Facilitation Style And Expertise
Population-Specific Experience
General Availability
References

Personal Information

Professional Background & Education

I confirm i hold certificates currently.

In the provided table, please select and indicate all credentials, certificates, and qualifications you possess that are directly applicable to your group facilitation skills. This detailed information helps us match you with group sessions that best align with your specific expertise and qualifications.

Please enter your educational background

Degree	Field of Study	Educational Institution	Date
1.
2.
3.
4.
5.

Please indicate any relevant credentials, degrees or certifications.

Credential/Certification	Accrediting Body	Credential Number Enter your credential number. This may be a certification, license, or registration number, depending on the credential type.	Issue Date	Expire Date
1.
2.
3.
4.
5.

Group Facilitation Style And Expertise

Experience in Healthcare Settings
Do you have experience running groups in healthcare settings such as drug and alcohol treatment centers or mental health facilities?

Please elaborate on your group facilitation experience, specifically in healthcare settings: *

Facilitation Style and Modalities

Please describe your approach to facilitating groups. What modalities, concepts, or tools do you incorporate in your sessions? *

Clinical Documentation Training
Are you trained or experienced in documenting session notes in an EMR system, such as Kipu, following industry standards like SOAP notes?

Population-Specific Experience

General Availability

Please indicate the days and times that you are available to run groups.

	Morning (8 AM - 12 PM)	Afternoon (12 PM - 4 PM)	Evening (4 PM - 9 PM)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

References

References are a vital part of our vetting process. Please ensure that your professional references can attest to your work experience and skills, while personal references should be able to speak to your character and reliability.

Please provide details for four references: two personal and two professional.

	Name	Relationship	Phone	Email
Personal Reference #1:
Personal Reference #2:
Professional Reference #1:
Professional Reference #2:

How did you hear about us? *

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We pride ourselves on being a one-stop shop for all your group facilitation needs, offering a diverse network of experienced professionals who are dedicated to helping patients on the path to recovery. Our facilitators are carefully selected based on their qualifications, experience, and ability to create a safe and supportive environment for patients.

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