Therapist Enrollment Form - Kwanga Therapy & Consulting

Name *

First

Last

Please upload your CV

Click or drag a file to this area to upload.

Kindly list your area of expertise

Can you provide training on the same?

4. Please indicate what age groups you prefer to work with:

0-12 months
12-18 months
18 months to 3 years
3 years to 6 years
6 years and 12 years
12 - 18 years
Adults

Where do you typically/prefer to meet clients?

At their homes
At their schools
At my office
At a therapy center / private rental space
At a hospital

Where you can provide face-to-face services

Address Line 1

City

State / Province / Region

Country

How many weekly hours would you be available for face-to-face sessions?

Which language(s) can you proficiently provide services in?

Please upload supporting documents—membership, certificate of good conduct, most recent referral letters (no less than 2)

Click or drag files to this area to upload. You can upload up to 5 files.

Aptitude

Instructions: Rate each statement on a scale from 1 (Strongly Disagree) to 5 (Strongly Agree).

I enjoy brainstorming creative solutions to problems.

Selected Value: 1

I recharge best when I have quiet time alone.

Selected Value: 1

I prefer work that allows me to respond to situations as they arise rather than follow a strict plan.

Selected Value: 1

I prioritize efficiency and logical decision-making over emotions.

Selected Value: 1

I often notice small details that others overlook.

Selected Value: 1

I feel energized when I interact with new people.

Selected Value: 1

I prefer to make detailed plans rather than go with the flow.

Selected Value: 1

I tend to trust my gut feelings when making important choices.

Selected Value: 1

I am comfortable adapting to last-minute changes in my schedule.

Selected Value: 1

I enjoy discussing abstract concepts more than practical facts.

Selected Value: 1

You're nearly there...

A few more questions:

I need time to process my thoughts before speaking in group discussions.

Selected Value: 1

I prefer clear instructions and structured tasks over open-ended assignments.

Selected Value: 1

I focus on what is rather than what could be.

Selected Value: 1

I naturally take charge in group situations.

Selected Value: 1

I often feel drained after extended social interactions.

Selected Value: 1

I enjoy experimenting with new ideas even if they seem impractical.

Selected Value: 1

I like analyzing data and making decisions based on facts rather than emotions.

Selected Value: 1

I find it easier to understand people’s emotions than to analyze logical patterns.

Selected Value: 1

I work best when I have a well-organized plan to follow.

Selected Value: 1

I tend to be more future-focused than present-focused.

Selected Value: 1

I prefer to stick with methods that have been tested and proven rather than try something new.

Selected Value: 1

I am comfortable making quick decisions without overanalyzing.

Selected Value: 1

I enjoy lively discussions and debates, even if they become intense.

Selected Value: 1

I feel uncomfortable in environments where there is too much unpredictability.

Selected Value: 1

I naturally gravitate towards leadership roles in group projects.

Selected Value: 1

I prefer casual, spontaneous interactions over structured, scheduled meetings.

Selected Value: 1

I often take people’s emotions into account when making a decision.

Selected Value: 1

I feel more productive when I can follow a flexible work routine.

Selected Value: 1

I prefer learning through hands-on experience rather than theories.

Selected Value: 1

I get excited about exploring new possibilities rather than focusing on what’s already established.

Selected Value: 1

Cart review

Aptitude

You're nearly there...