APPLY FOR GROUP SOUP Name * First Name Last Name Email * Age * Degree/Year received graduate degree * Number of accumulated hours * This # does not impact your acceptance into the program. Clinical Interests * A statement reflecting why you are interested in the Group Soup program * Your current employment status * Explain your current clinical work. Please be specific and use detail where possible. * Which meeting day are you interested in? * Select all that apply Thursdays 6-7pm CST Saturdays 11am-12pm CST Do you work in a non profit organization? * Yes No If yes, do you think your team or colleagues could benefit from bringing Group Soup into your organization? Yes No Thank you! We will get back to you soon.
