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Your Information

Personal Information

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Additional Information

Please note: The following questions may not automatically disqualify you for the position.

Do you meet the minimum requirements for this position?

Check this box if you're a current employee of Southwest Behavioral & Health Services.

Do you now, or will you in the future require visa sponsorship to work in the US?

If required, can you obtain a level 1 fingerprint clearance issued by the Arizona Department of Public Safety or be eligible to receive one within 8 weeks of hire?

Some of our positions require you to be 21 years of age. Do you meet this minimum requirement?

If required, can you acquire and maintain a valid Arizona driver's license?

Please be very careful in completing this section. The HR Department will verify this information. SB&H highly values integrity. It is essential that you be honest and truthful. The information disclosed will not necessarily bar you from further consideration. This includes any misdemeanors and felonies (i.e. assault, burglary, disorderly conduct, domestic violence, drug-related convictions, Driving Under the Influence (DUI), Driving While Intoxicated (DWI), failure to appear in court, larceny, shoplifting, trespassing, etc). Such convictions may have resulted in fine(s), community service, probation, or jail/prison.

If yes, please provide the offense, approximate date (month/year) and comments below.

Resume and Questions

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CANDIDATE ACKNOWLEDGEMENT

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 6 months. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is for no specific time period, is at will and terminable at any time for any reason. Accordingly this at will status cannot be changed expect in writing by an authorized designee of the organization and the applicable VP’s signature of approval. I further acknowledge that the employer reserves the right to change the terms and conditions of employment, including the employee job duties, working hours, and employment policies at any time.

In the event of employment, I understand that false or misleading information given on my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer. I further understand that it is my obligation to perform any duties that may be assigned. Additionally, all offers of employment are contingent upon the successful completion of a drug screen and physical examination, where necessary.

Candidate Sign Off

I certify that all of the information in this application is true and correct as of this date.

Application Review