{"id":3028,"date":"2024-07-11T10:53:12","date_gmt":"2024-07-11T10:53:12","guid":{"rendered":"https:\/\/heartitout.in\/career-form\/?page_id=3028"},"modified":"2024-07-12T06:41:11","modified_gmt":"2024-07-12T06:41:11","slug":"application-form-for-clinical-psychologist-role","status":"publish","type":"page","link":"https:\/\/heartitout.in\/career-form\/application-form-for-clinical-psychologist-role\/","title":{"rendered":"Application Form for Clinical Psychologist Role"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3028\" class=\"elementor elementor-3028\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-321ce46 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"321ce46\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9e947b5\" data-id=\"9e947b5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-27914f1 elementor-widget__width-inherit elementor-widget elementor-widget-html\" data-id=\"27914f1\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t   <!-- Google Tag Manager (noscript) -->\n   <noscript><iframe src=\"https:\/\/www.googletagmanager.com\/ns.html?id=GTM-56CS6TH\" height=\"0\" width=\"0\"\n         style=\"display:none;visibility:hidden\"><\/iframe><\/noscript>\n   <!-- End Google Tag Manager (noscript) -->\n   <!--............... start header section ...............-->\n   <header class=\"fixed-top bg-white\">\n      <nav 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target=\"_blank\">CAREERS<\/a>\n                  <\/li>\n\n                  <li class=\"nav-item\">\n                     <a class=\"btn btn_pri d-block\" href=\"https:\/\/heartitout.in\/welcome\/\" target=\"_blank\">LOGIN \/ SIGN UP<\/a>\n                  <\/li>\n               <\/ul>\n            <\/div>\n         <\/div>\n      <\/nav>\n   <\/header>\n   <!--............... end header section ...............-->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-da99cf8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"da99cf8\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-af228f5\" data-id=\"af228f5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-644fd71 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"644fd71\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-13a8ab6\" data-id=\"13a8ab6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-eeb91b3 elementor-widget elementor-widget-heading\" data-id=\"eeb91b3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Application Form for Clinical Psychologist<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a0f4f0b elementor-widget elementor-widget-text-editor\" data-id=\"a0f4f0b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Hello Human! Welcome to the application form for the position of Clinical Psychologist at Heart it Out. We are pleased to see that you are interested to be joining our family \ud83d\ude42 Do take out 5 minutes of your time to fill out this application and the HR Team will get back to you if you qualify for interview. Have a great day!<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-854e919 elementor-button-align-center elementor-widget elementor-widget-form\" data-id=\"854e919\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;dce_confirm_dialog_enabled&quot;:&quot;no&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;,&quot;label_icon_size&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;field_icon_size&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"dce-conditions-js-error-notice elementor-message elementor-message-danger\" style=\"display: none;\">A problem was detected in the following Form. Submitting it could result in errors. Please contact the site administrator.<\/div>\t\t\t<script>\n\t\t\tsetTimeout(function() {\n\t\t\t\tlet el = document.querySelector(\".dce-conditions-js-error-notice\");\n\t\t\t\tif (el)\n\t\t\t\t\tel.style.display = \"block\";\n\t\t\t}, 6000);\n\t\t\t<\/script>\t\t<form class=\"elementor-form\" method=\"post\" name=\"Application Form for Clinical Psychologist\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"3028\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"854e919\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"\" \/>\n\n\t\t\t\n\t\t\t<div data-field-conditions=\"[{&quot;id&quot;:&quot;Othertext&quot;,&quot;condition&quot;:&quot;(languagessss == &#039;Other&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false}]\" data-field-ids=\"[&quot;email&quot;,&quot;name&quot;,&quot;birthday&quot;,&quot;gender&quot;,&quot;pronoun&quot;,&quot;reside&quot;,&quot;relocation&quot;,&quot;number&quot;,&quot;languagessss&quot;,&quot;Othertext&quot;,&quot;CV&quot;,&quot;RCI&quot;,&quot;field_a9817a4&quot;,&quot;school&quot;,&quot;school&quot;,&quot;underschool&quot;,&quot;field_2069c55&quot;,&quot;manager&quot;,&quot;what_kind_of_therapy&quot;,&quot;kind_of_therapy&quot;,&quot;school_thought&quot;,&quot;project&quot;,&quot;work_commited&quot;,&quot;mental_health&quot;,&quot;field_f7083ba&quot;,&quot;field_e0e7845&quot;,&quot;refname&quot;,&quot;job&quot;,&quot;awesome&quot;,&quot;contact&quot;,&quot;otherref&quot;]\" class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail ID\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHi! What's your name?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-birthday elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-birthday\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhen is your birthday?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[birthday]\" id=\"form-field-birthday\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" required=\"required\" aria-required=\"true\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-gender elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-gender\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhich gender do you identify with?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[gender]\" id=\"form-field-gender\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-pronoun elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-pronoun\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat are your pronouns?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[pronoun]\" id=\"form-field-pronoun\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-reside elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-reside\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhere do you currently reside?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[reside]\" id=\"form-field-reside\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-relocation elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-relocation\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAre open to relocation to Bangalore?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-relocation-0\" name=\"form_fields[relocation]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-relocation-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-relocation-1\" name=\"form_fields[relocation]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-relocation-1\">No<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"I&#039;m currently located in Bangalore.\" id=\"form-field-relocation-2\" name=\"form_fields[relocation]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-relocation-2\">I'm currently located in Bangalore.<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-number elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-number\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat is your contact number?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[number]\" id=\"form-field-number\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-languagessss elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-languagessss\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat languages can you comfortably communicating in?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"English\" id=\"form-field-languagessss-0\" name=\"form_fields[languagessss][]\"> <label for=\"form-field-languagessss-0\">English<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Hindi\" id=\"form-field-languagessss-1\" name=\"form_fields[languagessss][]\"> <label for=\"form-field-languagessss-1\">Hindi<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Kannada\" id=\"form-field-languagessss-2\" name=\"form_fields[languagessss][]\"> <label for=\"form-field-languagessss-2\">Kannada<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Other\" id=\"form-field-languagessss-3\" name=\"form_fields[languagessss][]\"> <label for=\"form-field-languagessss-3\">Other<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-Othertext elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-Othertext\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOther\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[Othertext]\" id=\"form-field-Othertext\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-CV elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-CV\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPlease upload your Resume\/CV\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[CV]\" id=\"form-field-CV\" class=\"elementor-field elementor-size-sm  elementor-upload-field\" required=\"required\" aria-required=\"true\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-RCI elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-RCI\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPlease upload your RCI License\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[RCI]\" id=\"form-field-RCI\" class=\"elementor-field elementor-size-sm  elementor-upload-field\" required=\"required\" aria-required=\"true\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_a9817a4 elementor-col-100\">\n\t\t\t\t\t<h1 style=\"text-align:center; color:#01818C;\">Educational Qualification<\/h1>\n<p style=\"text-align:center;color:#01818C;\">Where did you study? And what? Tell us where you studied and the amazing things you have done there! Here is a sample of how you need to write the information under each question:\n<br>\n1. Name of Institution -<br>\n2. Name of Degree awarded -<br>\n3. Subjects -<br>\n4. Year of Completion\/Duration - \n<br>\nFeel free to add major awards, recognition and other tidbits. It will take 5 minutes approximately.\n\n \n<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-school elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-school\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMPhil or Doctorate School Information\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[school]\" id=\"form-field-school\" rows=\"4\" required=\"required\" aria-required=\"true\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-school elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-school\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGraduate School Information\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[school]\" id=\"form-field-school\" rows=\"4\" required=\"required\" aria-required=\"true\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-underschool elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-underschool\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tUndergraduate School Information\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[underschool]\" id=\"form-field-underschool\" rows=\"4\" required=\"required\" aria-required=\"true\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_2069c55 elementor-col-100\">\n\t\t\t\t\t<h1 style=\"text-align:center;color:#01818C;\">Clinical Psychologist Details<\/h1>\n<p style=\"text-align:center;color:#01818C;\">Here are some questions to help us understand a little more about why you are looking for this job!<br>\n\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-manager elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-manager\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat, according to you, would make you a good Clinical Psychologist at Heart It Out?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[manager]\" id=\"form-field-manager\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-what_kind_of_therapy elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-what_kind_of_therapy\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAre you trained in conducting psychometric assessments?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-what_kind_of_therapy-0\" name=\"form_fields[what_kind_of_therapy]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-what_kind_of_therapy-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-what_kind_of_therapy-1\" name=\"form_fields[what_kind_of_therapy]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-what_kind_of_therapy-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-kind_of_therapy elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-kind_of_therapy\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat kind of therapy do you practice\/ plan to practice?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[kind_of_therapy]\" id=\"form-field-kind_of_therapy\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-school_thought elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-school_thought\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhich school of thought are you primarily inclined towards?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[school_thought]\" id=\"form-field-school_thought\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-project elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-project\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIf yes, what psychometric assessments are you confident in?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[project]\" id=\"form-field-project\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-work_commited elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-work_commited\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAre you currently committed to any professional projects\/ work?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[work_commited]\" id=\"form-field-work_commited\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-mental_health elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-mental_health\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat does mental health mean to you?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[mental_health]\" id=\"form-field-mental_health\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_f7083ba elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f7083ba\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAre you currently undergoing therapy?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_f7083ba-0\" name=\"form_fields[field_f7083ba]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_f7083ba-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_f7083ba-1\" name=\"form_fields[field_f7083ba]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_f7083ba-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_e0e7845 elementor-col-100\">\n\t\t\t\t\t<h1 style=\"text-align:center;color:#01818C;\">References<\/h1>\n<p style=\"text-align:center;color:#01818C;\">Tell us who thinks you are amazing \ud83d\ude42<br>\n\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-refname elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-refname\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName of Reference\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[refname]\" id=\"form-field-refname\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-job elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-job\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat was the Job title?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[job]\" id=\"form-field-job\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-awesome elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-awesome\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhere did you meet this awesome human?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[awesome]\" id=\"form-field-awesome\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-contact elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-contact\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow can we contact them?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[contact]\" id=\"form-field-contact\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-otherref elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-otherref\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAny other references\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[otherref]\" id=\"form-field-otherref\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Send<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-982f22b elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"982f22b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4eaa1d2\" data-id=\"4eaa1d2\" data-element_type=\"column\">\n\t\t\t<div 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