Apply for Therapist - Mental Health

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Summary
Title:Therapist - Mental Health
ID:3278
Department:Adult Treatment Services
Location:Salt Lake City, Utah
Contact Information
* Legal First Name:
Legal First Name as it appears on Identification
* Legal Last Name:
Legal Last Name as it appears on Identification
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Attachments
* Resume:
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Cover Letter:
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Clinical Interests
* Please describe your clinical areas of interest and professional goals:
General
Please complete the questionnaire below.
* Have you previously worked for Volunteers of America, Utah?
Yes
No
* Can you pass a criminal background check based on the criteria set forth in Utah Code Section 26B-2-120?
Yes
No
* What interested you in applying for this position?
* How did you learn about this position? Which website?
* Are you at least 21 years of age?
Yes
No
* Are you legally authorized and eligible to work in the United States?
Yes
No
* Do you possess a valid Driver's License?
Yes
No
If you answered 'No' to the previous question, are you able to obtain a driver's license within 30 days of hire?
Yes
No
* What state issued your driver's license? If no license, please enter N/A.
* Have you been convicted of a DUI, DWI, OWI, or other driving impairment charge in the last 5 years?
Yes
No
* Have you had more than 3 moving violations in the past 3 years?
Yes
No
* Have you had more than one auto accident in any one year OR more than two accidents in the past three years?
Yes
No
* Do you currently, or have you ever, held any professional licensure from the Utah Division of Occupational and Professional Licensing or an equivalent entity in another state? If another state, which one?
Optional: what is your preferred name?:
Optional: what are your pronouns?:
* Are you fluent in Spanish?
Yes
No
Therapist Licensure
Please answer the following questions to the best of your ability.
* Do you have a master's degree in a mental health field?:
Yes
No
* Do you possess mental health licensure? Examples: CMHC, ACMHC, CSW, LCSW, Certified Family Counselor, etc.
Yes
No
2023 - Voluntary Self-Identification of Disability CC-305

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