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Your Personal Information
IMPORTANT: Applicants with disabilities may request any reasonable accommodation necessary to complete this application, or to take any test required for the position for which the applicant has applied, by making a request at the time of application or testing.
Your Name
(Required)
First Name
Middle Initial
Last Name
Address
Street Address
City
State & Zip/Postal Code
Email
Enter Email
Confirm Email
Best number to contact you at
(Required)
Phone number
Best Time To Call You
When is the best time for us to reach you via telephone?
Mornings
Early Afternoon
Late Afternoon
Early Evening
Position You're Applying For
EQUAL EMPLOYMENT OPPORTUNITY: It is the ABHS’s policy to seek and employ the best qualified employees and to provide equal opportunity for the advancement of employees and to administer all of our employment policies in a manner that will not discriminate against any person because of race, color, religion, age, sex, sexual orientation, gender identity, marital or veteran status, national origin, ancestry, disability, genetic information, on-the-job injuries, or any other legally protected status.
Position Applied for
(Required)
First Choice
Behavioral Health Tech ($17.00/hr)
Behavioral Health Tech II ($17.35/hr)
Behavioral Health Tech Lead ($17.75/hr)
Case Manager ($21.00/hr)
Certified Nursing Assistant ($17.75/hr)
Cook ($17.50/hr) - Spokane Mission
Court Evaluator ($38.00-42.00/hr)
DOSA Assessment SUDP ($28.14/hr)
Substance Use Disorder Professional/Trainee ($28.14/hr)/(22.00/hr)
Housekeeping ($16.50/hr)
Maintenance Carpenter ($16.50/hr)
Mental Health Professional/Associate ($32.00/hr)/($42.00/hr)
Therapeutic Community Coordinator ($19.34/hr)
Position Location
(Required)
First Choice Location
Chehalis
Spokane Corporate
Olympia Corporate
Spokane Cozza
Spokane Mission
Wenatchee (Parkside)
Airway Heights Corrections Center (AHCC)
Cedar Creek Corrections Center (CCCC)
Clallam Bay Corrections Center (CBCC)
Coyote Ridge Corrections Center (CRCC)
Larch Corrections Center (LCC)
Mission Creek Corrections Center for Women (MCCCW)
Monroe Correctional Complex (MCC)
Progress House Reentry Center
Olympic Corrections Center (OCC)
Stafford Creek Corrections Center (SCCC)
Washington Corrections Center (WCC)
Washington Corrections Center for Women (WCCW)
Washington State Penitentiary (WSP)
Position Applied for
Second Choice
Behavioral Health Tech ($17.00/hr)
Behavioral Health Tech II ($17.35/hr)
Behavioral Health Tech Lead ($17.75/hr)
Case Manager ($21.00/hr)
Certified Nursing Assistant ($17.75/hr)
Cook ($17.50/hr)
Court Evaluator ($38.00-42.00/hr)
DOSA Assessment SUDP ($28.14/hr)
Substance Use Disorder Professional/Trainee ($28.14/hr)/(22.00/hr)
Housekeeping ($16.50/hr)
Maintenance Carpenter ($16.50/hr)
Mental Health Professional/Associate ($32.00/hr)/($42.00/hr)
Therapeutic Community Coordinator ($19.34/hr)
Position Location
Second Choice Location
Chehalis
Spokane Cozza
Spokane Mission
Wenatchee (Parkside)
Airway Heights Corrections Center (AHCC)
Cedar Creek Corrections Center (CCCC)
Clallam Bay Corrections Center (CBCC)
Coyote Ridge Corrections Center (CRCC)
Larch Corrections Center (LCC)
Mission Creek Corrections Center for Women (MCCCW)
Monroe Correctional Complex (MCC)
Progress House Reentry Center
Olympic Corrections Center (OCC)
Stafford Creek Corrections Center (SCCC)
Washington Corrections Center (WCC)
Washington Corrections Center for Women (WCCW)
Washington State Penitentiary (WSP)
Date of Application
MM slash DD slash YYYY
Date Available
MM slash DD slash YYYY
Expected Pay rate
Work Availability
Please mark only the days you are available to work under each shift listed. (ABHS will attempt to reasonably accommodate employees who require certain hours or days off or other reasonable accommodations because of religious beliefs or practices.)
Shifts
Days
Swing
Graveyard
Weekends
Days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
“What days and times of the week are you available to work? (Company is open Sunday through Saturday, 24 hours a day) example: I’m available Monday (8:00 AM – 5:00 pm), Wednesday (8:00 AM – 5:00 pm), Thursday (7:00 AM – 4:00 pm), and Saturday (7:00 AM – 7:00 pm),”
Have you ever worked for us before?
Yes
No
Are you 18 years of age or older?
Yes
No
How did you hear about us?
ABHS Website
Advertisement
Indeed
Walk-in
Referred by
Other
Referred by or other
Please type referral name or details for other option
RELATIVES AND FRIENDS
Qualified relatives and friends are eligible for employment except in unusual situations when the Company needs to avoid possible conflicts of interest. Do you have any relatives or friends (such as roommates or domestic partners) who currently work for us?
Yes
No
Name(s)
IMPORTANT NOTICE TO ALL APPLICANTS
CRIMINAL AND/OR DRIVING RECORDS: ABHS may ask for additional information from applicants who receive a conditional offer of employment. The additional information will be about the applicant’s criminal and/or driving record, including convictions of any crime (whether a felony, misdemeanor, or other violation or offense), or pleas of guilty or no contest, or forfeitures of bail or bond. We may also ask for this information as part of a background check. A criminal or driving record is not an automatic bar to employment. Factors such as the nature and gravity of the crime, the length of time since the conviction and/or completion of any sentence, and the nature of the job for which you have applied will be considered.
DRUG TESTING: All offers of employment are subject to a urinalysis or alternative test(s) for the presence of unlawful drugs.
I have read the above statement and understand.
IN CASE OF EMERGENCY NOTIFY
Emergency Contact Name
Emergency Contact Address
Emergency Contact Phone Number
Emergency Contact Email Address
Qualifications
Please list any education, training and/or specialized experience (such as schools; colleges; degrees; vocational, technical or military experience, hobbies, etc.) you believe would help you perform the work for which you are applying.
Degrees, Licenses, Relevant Education or Training
Where did you acquire it?
(Name/address of school, program, military branch and specialty, or other source)
Employment Experience
Please account for all periods of employment by month and year, including any self-employment and military service. (Attach another sheet if you need more space.)
Current or Most Recent Employer
Company Name
Phone
Hire Date
MM slash DD slash YYYY
Date Left
MM slash DD slash YYYY
Address
Job Title/Job Duties
Supervisor
Reason for Leaving
Previous Employer
Company Name
Phone
Hire Date
MM slash DD slash YYYY
Hire Left
MM slash DD slash YYYY
Address
Job Title/Job Duties
Supervisor
Reason for Leaving
Previous Employer
Company Name
Phone
Hire Date
MM slash DD slash YYYY
Date Left
MM slash DD slash YYYY
Address
Job Title/Job Duties
Supervisor
Reason for Leaving
Have you ever been terminated, quit at an employer’s request, or quit because you believed that you might be terminated?
Yes
No
If yes, please identify employer and explain circumstances:
VERIFICATION, AUTHORIZATION AND SIGNATURE
(Required)
1. I authorize the investigation of all matters which ABHS deems relevant to my qualifications for employment, including all information given in this application and in any supplemental application attachments or supporting documents. I authorize you to request and receive such information, and I release from all liability any persons (such as current or former supervisors or employers) supplying it. I further agree to sign an Authorization and Consent form allowing an outside agency selected by ABHS to verify all of the information I have provided as well as to provide any other information ABHS deems relevant to my qualifications or suitability for employment. I also release you from all liability which might result from making the investigation.
2. I certify that the facts and information in this application and in any attachments or supporting documents are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation or omission, as well as any misleading statements or omissions, generally will result in denial of employment or immediate termination, regardless of when and how discovered.
3. I understand that I may be required to submit to pre- or post-employment physical or other professional examinations, medical inquiries and/or urinalysis or alternative tests for the presence of drugs and/or alcohol. I agree to such examinations, inquiries and/or testing at the ABHS's expense. I authorize release of the results to ABHS and their use to evaluate my suitability for employment. I also release ABHS from all liability arising out of or connected with any examinations, inquiries and/or testing.
4. I understand and agree that I may resign or be terminated, without cause or notice, at any time, unless otherwise stated in a written employment contract. I also understand and agree that ABHS’s President is the only person who will ever have the authority to agree to any other terms and/or to enter into such contracts, and that all such agreements for other terms of employment or contracts must be in writing and signed by both parties. I also understand that unless otherwise stated in a written employment contract, ABHS may change, withdraw and interpret other policies (including wages, hours and working conditions) as it deems appropriate.
5. This application for employment will only be considered active for 60 days.
6. I understand and agree that if I am hired, the statements in these paragraphs will become a binding part of my employment relationship. I have read (or had read to me in a language I understand) each of these statements. I have also reviewed all of the information provided in this application and in any attachments or supporting documents.
I have read and understand the above information.
Unsigned or incomplete applications will not be considered.(Required)
Electronic Signature
(Required)
Date
(Required)
MM slash DD slash YYYY
Unsigned or incomplete applications will not be considered.(Required)
Electronic Signature
(Required)
Date
(Required)
MM slash DD slash YYYY
Reference Checking Consent & Authorization Form
(Required)
Read carefully and completely before signing.
SECTION I – CONSENT
I have applied for employment with American Behavioral Health Systems and have provided information about my previous employment. My signature below authorizes my former or current employers and references to release the contents of my employment record with their organizations and to provide any additional information that may be necessary for my application for employment to American Behavioral Health Systems, whether the information is positive or negative.
I authorize American Behavioral Health Systems to investigate all statements made in my application for employment and to obtain any and all information concerning my former/current employment. This includes my job performance appraisals/evaluations, wage history, disciplinary action(s) if any, and all other matters pertaining to my employment history. I knowingly and voluntarily release all former and current employers, references, and American Behavioral Health Systems from any and all liability arising from their giving or receiving information about my employment history, my academic credentials or qualifications, and my suitability for employment with American Behavioral Health Systems. This form may be photocopied or reproduced as a facsimile, and these copies will be as effective as a release or consent as the original which I
sign.
I give ABHS permission to follow-up with my references provided.
SECTION II – SIGNATURE(Required)
Electronic Signature
(Required)
Date
MM slash DD slash YYYY
References
Please list three (3) professional references.
Professional Reference #1
Full Name
Relationship
Company
Phone Number
Company address
Address
City, State
ZIP / Postal Code
Professional Reference #2
Full Name
Relationship
Company
Phone Number
Company address
Address
City, State
ZIP / Postal Code
Professional Reference #3
Full Name
Relationship
Company
Phone Number
Company address
Address
City, State
ZIP / Postal Code
Upload Your Cover Letter
Upload your cover letter in .pdf, .doc or .docx format
Accepted file types: pdf, doc, docx, Max. file size: 25 MB.
Upload Your Resume
(Required)
Upload your resume in .pdf, .doc or .docx format
Accepted file types: pdf, doc, docx, Max. file size: 25 MB.
Comments
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Admissions
Application Process
What To Expect
Payment Options
Family & Friends
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Crisis Stabilization
Secure Withdrawal Management Services
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Contact Us
Careers
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