Application Form - Care to Change

Application for Employment

We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a non-job related to medical condition or handicap, or any other legally protected status.

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Today's Date(Required)

MM slash DD slash YYYY

Type of Employment Requested(Required)

Administrative

Therapist

Student

Other

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

How did you hear about Care to Change?(Required)

Who/if any of the team members do you know?(Required)

Have you ever filled out an application with us before?(Required)

Yes

Please provide date of application(Required)

MM slash DD slash YYYY

Have you ever been employed with us before?(Required)

Yes

Please provide date(s) of employment(Required)

How have you been affiliated with Care to Change?(Required)

Have you ever been a student intern with us before?(Required)

Yes

Please provide date(s) of internship(Required)

Are you currently employed?(Required)

Yes

May we contact your present employer?(Required)

Yes

On what date are you available to begin employment?(Required)

MM slash DD slash YYYY

What days & hours are you available?(Required)

What is your pay & benefit requirement?(Required)

Can you travel if the job requires it? (Is your schedule flexible?)(Required)

Yes

Are you able to work evenings?(Required)

Yes

Have you ever been convicted of a felony? (Criminal background checks required prior to employment)(Required)

Yes

Please explain:(Required)

Undergraduate Education

Undergraduate School Name & Location(Required)

Degree Received(Required)

Number of Years Completed(Required)

Other

Other(Required)

Describe Course of Study(Required)

Describe any specialized training, internships, skills, and extracurricular activities.(Required)

Describe any honors you have received.(Required)

State any additional information you feel may be helpful to us in considering your application.(Required)

Graduate Education

Graduate School Name and Location(Required)

Degree Received(Required)

Number of Years Completed(Required)

Other

Describe Course of Study(Required)

Describe any specialized training, internships, skills, and extracurricular activities.(Required)

Describe any honors you have received.(Required)

State any additional information you feel may be helpful to us in considering your application.(Required)

Other Skills

Indicate any foreign languages you can speak, read, and/or write.(Required)

List any best practice models in which you are certified/trained and tell which year you received that certification/training. (You may exclude memberships which would reveal sex, race, religion, national origin, age, ancestry, handicap, or other protected status.)(Required)

Community Involvement

Indicate what community committees, volunteer activities, and/or boards you are or have been involved with in the past 5 years.(Required)

References

Name	Nature of your relationship	Address	Phone	Actions

There are no Entries.

Maximum number of entries reached.

Please add at least two references.

Employment Experience

Employer	Phone	Job Title	Responsibilities and achievements	Dates Employed	Reason for leaving	Actions

There are no Entries.

Maximum number of entries reached.

Please add at least three previous employers.

Special Skills & Qualifications

Summarize special job-related skills and qualifications acquired from employment or other experience.(Required)

Document Upload

Upload resume

Max. file size: 512 MB.

Upload cover letter

Max. file size: 512 MB.

How did you hear about the position and what made you want to apply?(Required)

Please read our mission statement and comment on your thoughts about it.(Required)

Click here to read our mission statement.

How does this role fit into your long term goals?(Required)

Share about your experience working with people with different backgrounds or beliefs than you.(Required)

Section Break

Students Only

What are you hoping to learn while a student at Care to Change?(Required)

Write about your background working with families &/or in an administrative role?(Required)

Write about any evidence-based models you’re trained in or other certifications you have?(Required)

What skills/experience do you have that will compliment or add to our team?(Required)

What is the start and end/date?(Required)

What days/hours are you available?(Required)

Acknowledgment Statement. Please check indicating the following.(Required)

I've read and understand the Acknowledgment Statement

I understand that finding the best candidate for a position on Care to Change’s team is a multi-layered process that requires careful consideration with each step. I acknowledge that your team takes thorough steps to ensure the selection of the most qualified candidate. This process includes reviewing resumes, conducting a phone screen, and carrying out at least two different interviews, followed by contacting references. I am aware that this comprehensive process can take 90 days or more and I understand and accept the time frame involved.

Phone

This field is for validation purposes and should be left unchanged.