Supplemental Questionnaire – Counseling

Name*
First Last
Position you are applying for:*
What is your theoretical basis for counseling? Please be specific.*
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Do you integrate the theological/psychological in counseling? If so, how?*
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Would you describe yourself as more of integration counselor or a nouthetic counselor? Why?*
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What life experience do you have to offer to enrich your counseling skill? How freely do you use self- disclosure in counseling?*
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How do you use prayer/scriptures in counseling?*
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How do you see the church fitting into the counseling process?*
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What is your basic view of spiritual warfare?*
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Do you utilize prayer, imagery, hypnosis, enneagrams, “healing of memories,” or visualization in your therapy practice? Explain how each is utilized.*
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To what degree do you disclose your own spiritual walk in the therapeutic setting? Why?

You provided your personal views on the following issues when filling out the STCH Ministries General Application. Now provide your counseling and biblical views, specifically sharing how you would counsel individuals who may be dealing with issues relating to the following:
Abortion*
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Divorce*
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Remarriage after divorce*
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Pre- and extra-marital sexual activities*
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Homosexuality*
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Marriage*
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Biblical roles of husbands/wives*
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Euthanasia*
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Child rearing/balance of love and correction*
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Please list all of the counseling courses you have taken:*
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Describe your practicum setting (placement, responsibilities, lessons learned, credentials of supervisor, etc.):*
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Describe your internship setting (placement, responsibilities, lessons learned, credentials of supervisor, etc.):*
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How many hours of direct counseling service did you provide during your practicum and internship experience?*
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How much experience have you had providing counseling services for children?*
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What was the setting for that experience?*
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What theoretical approach(es) do you employ in your work with children?*
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How much experience have you had providing counseling services for adolescents?*
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What was the setting for that experience?*
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What theoretical approach(es) do you use in your work with adolescents?*
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How much experience have you had in working with couples?*
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What was the setting for that work?*
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What theoretical approach(es) do you use in your work with couples?*
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How much experience have you had in providing counseling for an entire family?*
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What was the setting for that experience?*
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What theoretical approach(es) do you use in your work with families?*
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What special skills or special training have you had that would benefit you in this position?*
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Certification of Information
I certify that the information I have provided is true and correct. I understand that falsification or omission of any information may result in termination or rejection of my application or of my employment.
Signature of Applicant*
By typing your name above, you are signing this part of the application electronically.
Date*
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South Texas Children’s Home Ministries does not illegally discriminate on the basis of race, sex, color, national or ethnic origin, age, disability, or military service in employment. South Texas Children’s Home Ministries reserves the legal right to and may discriminate on the basis of religion in employment in accordance with federal and state law.

Certification of Information