Get Consultant Application - Crisis Care Network

This guide provides clear instructions on filling out the Consultant Application for the Crisis Care Network. By following these steps, you will ensure that your application is complete and ready for submission.

Follow the steps to successfully complete your application

1. Press the 'Get Form' button to access the Consultant Application - Crisis Care Network and open it in your digital editor.
2. Begin by filling out your personal details. Provide your first name, middle initial, and last name in the designated fields.
3. Enter your street address, city, state, and zip code in the appropriate sections to ensure accurate location information.
4. Input your contact numbers, including your office phone, home phone, cell phone, and fax number, followed by your email address.
5. Indicate your ethnic background and whether you are bilingual, along with the languages you speak if applicable. These fields are optional.
6. Respond to the questions regarding your licensure, military experience, and relevant training to provide a complete picture of your qualifications.
7. Fill in your Social Security number and, if applicable, your Federal Tax Identification number (EIN), ensuring the accuracy of the details you provide.
8. Review the series of yes/no questions about your professional history and potential restrictions. Attach an explanation sheet if you answer 'Yes' to any of these questions.
9. Compile the required documents listed in the application, including your CV, proof of training, professional license, malpractice insurance, and references.
10. Sign and date the application at the bottom, certifying that the information you provided is true and complete.
11. Once all sections are completed and documents are attached, save your changes, download the form, or print it for your records.

Complete your Consultant Application online today to join the Crisis Care Network and make a difference in crisis care services.